With the promotion of the national blue ocean strategy, concrete is widely used in various marine engineering facilities (i.e., cross-sea bridges, sub-sea tunnels, harbour terminals, etc.). However, concrete suffers from physical, chemical and biological synergistic effects during its service, eventually leading to its deterioration. The mechanism of concrete deterioration caused by physical and chemical effects is well known. In the marine environment, however, the mechanism of concrete deterioration caused by organisms, especially macro organisms (i.e., plant type and animal type) is still unclear. Therefore, this review represented recent work on the corrosion mechanism of macroscopic organisms in marine concrete, some factors affecting the attachment behavior of macroscopic organisms, and the related protective characterizations as well for more reasonable, efficient, economic and environmentally friendly corrosion management of marine concrete used.