Traditional methods of garlic fertilization involve large amounts of balanced fertilizer with equal proportions of N, P, and K, leading to nutrient imbalances, reduced yield and nutritional quality, and elevated risk of environmental pollution. This study for the first time measured garlic nutrient absorption and mineral elements status in garlic fields. In addition, a garlic-specific fertilizer formula and recommended rate were designed and applied in multiple garlic fields during the 2019–21 growing season. We assessed the performance of garlic-specific fertilizer in terms of yield, quality, and nutrient utilization efficiency. We showed that garlic prefers to absorb N and K, and its absorption of P was much lower. Deficiencies in Cl, Mn, S, and Fe are found in 98.7%, 56.1%, 22.8%, and 11.9% of garlic fields. Compared with farmer fertilization, the garlic-specific fertilizers increased sprout yield by 12.9% to 30.5%, bulb yield by 11.0% to 33.5%, and net income by 18.2% to 45.6%. Furthermore, it improved the nutritional quality [vitamin C (Vc), soluble sugar (SS), and soluble protein] of the garlic and reduced the accumulation of nitrate. The formula of special fertilizer was more in line with the law of garlic nutrient absorption, increasing the nutrient utilization effect, reducing the environmental risks. Application of specific fertilizer increased N, P, and K partial productivity by 26.6% to 50.1%, 82.6% to 116.5%, and 54.6% to 83.3%, respectively. These results suggest that replacing balanced fertilizers in the garlic market with garlic-specific fertilizers can improve garlic farmers' incomes and soil health.