As one of the main pollutants, heavy metal ions can accumulate in the human body and cause a cascade of damage. Electrochemical sensors provide great prospects for tracing heavy metal ions because of their properties of high sensitivity, low detection limits and fast response. Electrode surface modification materials play a key role in enhancing the performance of electrochemical sensors. Herein, we summarize in detail the recent work on electrochemical sensors modified by carbon nanomaterials (graphene and its derivatives, carbon nanofibers and carbon nanotubes), metal nanomaterials (gold, silver, bismuth and iron), complexes (MOFs, ZIFs and MXenes) and their composites for the detection of heavy metal ions (mainly include Cd(II), Hg(II), Pb(II), As(III), Cu(II) and Zn(II)) in food and water. The synthetic strategies, mechanisms, innovations, advantages, challenges and prospects of various electrode modification nanomaterials for the detection of heavy metal ions in food and water are discussed.