CeO2 nanoparticles are effective fuel additives that enhance fuel spray, atomization, and combustion characteristics due to their high catalytic activity and excellent thermal properties. When added to fuel, CeO2 nanoparticles significantly improve in-cylinder combustion, and engine performance, and reduce pollutant emissions under normal engine operating conditions. Diesel engines encounter persistent challenges during cold starts at low temperatures and high altitudes. However, there is limited research on the effects of CeO2 nanoparticles on ignition and combustion at low temperatures and cold start performance. This study aims to evaluate the impact of CeO2 nanoparticles doping in diesel fuel on the cold start performance of diesel engines in high-altitude and low-temperature environments. Diesel fuel doped with CeO2 nanoparticles at various concentrations was prepared using magnetic stirring and ultrasonication. The cold start performance of the test engine was assessed in an environmental chamber. This work investigated and evaluated the improvements of CeO2 nanoparticles on cold start performance from three perspectives: general low-temperature conditions, high-altitude environments, and extreme low-temperature scenarios with diethyl ether premixing. Experimental results indicate that incorporating CeO2 nanoparticles expanded the critical temperature required for a successful cold start from 0 °C to −5 °C. At high altitudes, the addition of CeO2 nanoparticles effectively increased the proportion of efficient combustion, evidenced by single peak and parent peak patterns during cold starts. CeO2 nanoparticles facilitated the transition from low-temperature to high-temperature reactions, promoting fuel ignition during the first injection cycle and reducing speed fluctuations during cold starts with diethyl ether premixing at −40 °C. Furthermore, adding CeO2 nanoparticles prevented detonation and rapid pressure surges during cold starts. Overall, doping diesel fuel with CeO2 nanoparticles proves to be an effective method for enhancing cold start performance in diesel engines. This study offers a novel approach for improving diesel engine cold start performance in high-altitude and low-temperature conditions.