Abstract: Compared to charmonium-like states, exotic hadrons associated with b-quark offer distinct advantages for exploring the nature of multiquark phenomena and the dynamics of the strong interaction. Due to the heavier bottom quark mass, theoretical calculations, particularly those based on effective field theories and potential models, tend to be more reliable and under better control in the bottomonium sector. With its clean e+e-collision environment and high luminosity, the Belle and Belle II experiments are ideally suited to explore these exotic hadrons associated with b-quark, including Zb, Xb, and Yb states, and charmonium-like states in B decays. Utilizing the large proton-proton collision dataset, the LHCb experiment has conducted extensive investigations of heavy-flavor multiquark states through B and Lambda b decay channels. The relevant phenomenological interpretations are also reviewed.