Salinized soil is an important reserved arable land resource in China. The management and utilization of salinized soil can safeguard the current size of arable land and a stable grain yield. Salt accumulation will lead to the deterioration of soil properties, destroy soil production potential and damage soil ecological functions, which in turn will threaten global water and soil resources and food security, and affect sustainable socio-economic development. Microorganisms are important components of salinized soil. Microbial remediation is an important research tool in improving salinized soil and is key to realizing sustainable development of agriculture and the ecosystem. Knowledge about the impact of salinization on soil properties and measures using microorganisms in remediation of salinized soil has grown over time. However, the mechanisms governing these impacts and the ecological principles for microbial remediation are scarce. Thus, it is imperative to summarize the effects of salinization on soil physical, chemical, and microbial properties, and then review the related mechanisms of halophilic and halotolerant microorganisms in salinized soil remediation via direct and indirect pathways. The stability, persistence, and safety of the microbial remediation effect is also highlighted in this review to further promote the application of microbial remediation in salinized soil. The objective of this review is to provide reference and theoretical support for the improvement and utilization of salinized soil.