Flexible piezoresistive pressure sensors may exhibit excellent sensing performances to be applied in wearable electronics, medical diagnosis, and electronic skin. Herein, we report a multi-layer and phased-responsive reduced graphene oxide/MXene-based piezoresistive pressure sensor with hierarchical microspines constructed by sandpaper as the template. Thanks to the multi-level and multi-layer structure, the obtained sensor realized phased response and showed wide detection range (up to 70 kPa), fast response (response/recovery time of 40/80 ms), and excellent working stability (1000 fatigue cycles). Furthermore, the sensor was successfully applied for detecting various human motions including pulse beats, cheek bulging, nodding, finger bending, speech recognition, handwriting, and other pressure signals. Besides, a 6 × 6 sensing matrix integrated by the sensors was able to sensitively perceive the distribution of plane pressure. The findings in this work conceivably stand out as a new strategy to fabricate high-performance piezoresistive pressure sensors in the fields of intelligent healthcare and medical diagnosis, wearable electronic devices, electronic skin, and human-machine interaction.