El Niño is one of the most significant global climatic phenomena affecting the East Asian atmospheric circulation and climate. This study uses multi-source datasets, including observations and analyses, and statistical methods to investigate the variations and potential causes of boreal spring precipitation anomalies in eastern China under different El Niño sea surface temperature conditions, namely, the Eastern Pacific and Central Pacific (EP and CP) El Niño cases. The findings reveal that, particularly along the Yangtze–Huaihe valley, spring precipitation markedly increases in most regions of eastern China during the EP El Niño decaying stages. Conversely, during the CP El Niño decaying stages, precipitation anomalies are weak, with occurrences of weak negative anomalies in the same regions. Further analyses reveal that during the decaying spring of different El Niño cases, differences in the location and strength of the Northwest Pacific (NWP) abnormal anticyclone, which is associated with the central–eastern Pacific warm sea surface temperature anomaly (SSTA), result in distinct anomalous precipitation responses in eastern China. The SSTA center of the EP El Niño is more easterly and stronger. In the meantime, NWP abnormal anticyclones are more easterly and have a broader range, facilitating water vapor transport over eastern China. By contrast, the CP El Niño SSTA center is westward and relatively weaker, leading to a relatively weak, westward, and narrower anomalous NWP anticyclone that causes less significant water vapor transport anomalies in eastern China. This paper highlights the diverse impacts of El Niño diversity on regional atmospheric circulation and precipitation, providing valuable scientific references for studying regional climate change in East Asia.