With great significance in ecosystem protection and sustainable development, the study of ecosystem service consumption (ESC) has become a hot topic in ecological research. Based on FAOSTAT data, in this study the patterns, composition and evolution of ESC and ecosystem service consumption patterns (ESCP) in the “Belt and Road” were revealed on the total and regional scales, taking consumed-biomass as a main indicator. Three main conclusions were reached. 1) The total ESC was mainly contributed from farmland ecosystems along the “Belt and Road” , followed by grassland ecosystems. The ESC indicators on the whole system scale fluctuated, but increased from year 2000 to year 2016. The total ESC increased from 12911.89 Tg yr^–1 to 16810.00 Tg yr^–1, and the annual per capita consumption of ecosystem services increased from 3.3228 million g p^–1 yr^–1 to 3.6392 million g p^–1 yr^–1. 2) The ESC, composition and evolution varied significantly among countries, zones and ecosystems. The annual per capita ESC was highest in Mongolia on the national scale, and highest in Central and Eastern Europe and lowest in Southeast Asia on zone scale, which represented the results from the joint effects of regional resource endowments, consumption habits, levels of productive forces, and other factors. 3) Higher farmland ESC was the dominant ESCP, which accounted for about 76.7% of the total area along the “Belt and Road”, followed by higher farmland + higher grassland ESC, which accounted for about 19.0% of the total area. The other consumption patterns (i.e., those of higher grassland ESC, higher forestland ESC or higher farmland + higher forest + higher grassland ESC) were found in only a few countries. The ESCP may be related to higher regional population density or the higher proportions of developing countries. Therefore, to realize sustainable social, economic and ecological development, and to improve people's well-being, countries along the “Belt and Road” should take advantage of their own resources in developing industries, actively expand trade, achieve mutual benefits and win-win situations, and adjust and optimize consumption patterns of ecosystem services. This study can provide data support for further research on the mechanism of ESCP formation this area.