Owing to the considerable potential of photoelectrochemical (PEC) sensors, they have gained significant attention in the analysis of biological, environmental, and food markers. However, the limited charge mass transfer efficiency and rapid recombination of electron hole pairs have become obstacles in the development of PEC sensors. In this case, considering the unique advantages of carbon-based materials, they can be used as photosensitizers, supporting materials and conductive substrates and coupled with semiconductors to prepare composite materials, solving the above problems. In addition, there are many types of carbon materials, which can have semiconductor properties and form heterojunctions after coupling with semiconductors, effectively promoting the separation of electron hole pairs. Herein, we aimed to provide a comprehensive analysis of reports on carbon-based PEC sensors by introducing their research and application status and discussing future development trends in this field. In particular, the types and performance improvement strategies of carbon-based electrodes and the working principles of carbon-based PEC sensors are explained. Furthermore, the applications of carbon-based photoelectric sensors in environmental monitoring, biomedicine, and food detection are highlighted. Finally, the current limitations in the research on carbon-based PEC sensors are emphasized and the need to enhance the sensitivity and selectivity through material modification, structural design, improved device performance, and other strategies are emphasized.