Under the strategic background of accelerating the construction of a strong marine country, the development and application of seawater and sea-sand engineered cementitious composites (ECC) are of great significance for the construction of marine infrastructures in coastal and island areas. Seawater and sea-sand ECC not only inherits the excellent toughness, ductility and crack control performance of traditional ECC, but also shows a stronger ability to resist corrosive medium erosion and frequent natural disaster impact in the marine environment in actual projects, which has a broad application prospect. The influences of inorganic salt ions in seawater as well as the particle morphology and mineral composition of sea-sand on the mechanical properties of ECC are systematically sorted out, the additive manufacturing technology based on 3D printing of seawater and sea-sand ECC is discussed, and its typical application scenarios in engineering are summarized. On this basis, the key scientific issues and technical difficulties in the current research of seawater and sea-sand ECC are further analyzed, and the opportunities and challenges for future development are envisioned.