Fractional wettability is common in oil and gas reservoirs, resulting in complex fluid distribution and transport phenomena. A precise understanding of capillary pressure behavior and characterization in fractional-wet reservoirs, including the two-phase flow mechanisms within pores and relationship between capillary pressure and saturation in porous media, is significant to enhanced oil recovery strategies. In this paper, an in-depth review of the two-phase flow mechanisms in fractional-wet pores and capillary entry pressures in various displacement processes was conducted. Furthermore, the effects of oil-wet proportion and contact angle on capillary pressure characterization were summarized, highlighting the emergence of similar capillary pressure curves under conditions of low oil-wet proportions. The prediction models for capillary pressure, containing empirical equations and physics-based models were discussed, with the aim of clarifying the most effective prediction methodologies. Finally, the review was finalized by outlining key findings and future directions for both experimental and theoretical studies in the realm of capillary pressure behavior and characterization.