In recent years, pressure sensors have been widely applied in the fields of smart wearable textile, health detection, and electronic skin. The emergence of the two-dimensional nanomaterial MXene has brought a brand-new breakthrough for pressure sensing. Ti₃C₂T_x is the most popular studied MXene in the field of pressure sensing and shows good mechanical, electrical properties, excellent hydrophilicity, and extensive modifiability, enabling it an ideal material for pressure sensing. Hence, researchers have conducted a lot of explorations and studies on design and application of MXene in pressure sensors in recent years. Herein, the preparation technologies and antioxidant methods are summarized. Design of MXene-based microstructures is also introduced, including aerogels/porous structural materials, hydrogels, flexible substrates, and films, which are beneficial to improve the response range, sensitivity, and flexibility of pressure sensors, and promote the rapid development of pressure sensors. The mechanisms of MXene pressure sensors are further broached, including piezoresistive, capacitive, piezoelectric, triboelectric, battery typed and nanofluidic. MXene has been applied in a wide range of sensors for various mechanisms due to its excellent characteristics. Finally, the chance and challenge in the synthesis, properties, and pressure sensing performance of MXene materials are prospected.