Aluminum-air battery (AAB) is a promising candidate for next-generation energy storage/conversion systems due to its cost-effectiveness and impressive theoretical energy density of 8100Wh kg-1, surpassing that of lithium-ion batteries. Nonetheless, the practical applicability of AABs is hampered by the occurrence of serious self-corrosion side reactions and substantial capacity loss, resulting in suboptimal anode utilization. Consequently, improving the anode utilization to facilitate the construction of high-performance AABs have attracted widespread attention. Herein, the fundamentals and strategies to enhance aluminum anode utilization are reviewed from modifications of aluminum anodes and electrolytes. This comprehensive review may provide a scientific tool for the development of novel AABs in the future.