Defect engineering is an effective method for tuning the performance of thermoelectric materials and shows significant promise in advancing thermoelectric performance. Given the rapid progress in this research field, this Review summarizes recent advances in the application of defect engineering in thermoelectric materials, offering insights into how defect engineering can enhance thermoelectric performance. By manipulating the micro/nanostructure and chemical composition to introduce defects at various scales, the physical impacts of diverse types of defects on band structure, carrier and phonon transport behaviors, and the improvement of mechanical stability are comprehensively discussed. These findings provide more reliable and efficient solutions for practical applications of thermoelectric materials. Additionally, the development of relevant defect characterization techniques and theoretical models are explored to help identify the optimal types and densities of defects for a given thermoelectric material. Finally, the challenges faced in the conversion efficiency and stability of thermoelectric materials are highlighted and a look ahead to the prospects of defect engineering strategies in this field is presented.