Metamaterials, as artificially engineered structures with unconventional mechanical and acoustic properties, have recently emerged as a transformative platform for enhancing the capabilities of triboelectric nanogenerator (TENG) systems. Since the invention of TENG devices, extensive efforts have been devoted to improving charge density, output stability, and overall performance. Conventional performance optimization strategies mainly rely on device-level improvements such as surface chemistry modification, microstructuring, and nanopatterning. However, limited emphasis has been given to system-level development of smart self-powered intelligent systems. The integration of metamaterials into TENG devices opens a new era by enabling frequency-selective localization, mechanical impedance matching, and controllable deformation pathways. These engineered mechanical structures not only improve energy harvesting efficiency but also introduce new functionalities into the system. This review systematically summarizes recent advances in metamaterial-integrated TENG systems across four major application domains: (i) energy harvesting, (ii) acoustic telecommunication and acoustic-to-electric conversion, (iii) self-powered sensing, and (iv) vibration suppression and monitoring. Overall, the integration of metamaterials into TENG systems will pave the way for next-generation sustainable, intelligent, self-powered devices with diverse functionalities.