Cancer affects millions of people worldwide, and it is projected that there will be 1,958,310 new cancer cases and 609,820 cancer fatalities in the United States in 2023. Epirubicin (EPI) is a prospective anticancer chemotherapeutic agent that has demonstrated efficacy against a variety of malignancies, including breast, ovarian, gastric, lung, and pancreatic cancers, as well as non-Hodgkin lymphomas and acute leukemia, which account for approximately 25% of all cancer cases. Utilizing nanotechnology, novel drug delivery systems (DDS) have been developed to enhance the therapeutic efficacy of EPI and resolve its limitations. This article examines various nanocarriers used for EPI delivery and co-delivery, with dimensions ranging from 1.5 to 876 nm, encapsulation efficiencies between 3.9% and 99.6%, zeta potentials between −31 and + 31 mV, and drug release profiles ranging from 10% to 100% over 40 min to two weeks. Functionalized with targeted ligands such as antibodies, aptamers, folic acid, or transferrin, the nanocarriers can respond to pH, temperature, magnetic fields, or enzymes. In addition, the article discusses the advantages and disadvantages of various nanocarrier types and co-delivery strategies, as well as future prospects and difficulties. This exhaustive analysis provides the most recent data on multiple nanocarriers for EPI delivery and co-delivery, focusing on their design principles, modes of action, and therapeutic effects.