As a key sub-region for Jointly Building the Belt and Road and Cooperation between China and Central and Eastern European Countries，the Balkan countries have witnessed a gradual elevation in their standing within China’s foreign relations，marked by a notable surge in bilateral cooperation across various domains in recent years. In the face of the accelerated shifts in the global landscape in 2023，the relationship between China and the Balkan countries still remains resilient，with a growing interdependence in functional fields such as trade and investment，digital technology，and green energy. However，it is undeniable that the cooperation between China and Central and Eastern European Countries has encountered setbacks due to the influence of intensified great power games and the spillover effects of the Russia-Ukraine Conflict. In such a situation，Balkan countries，which are positioned at the forefront of these geopolitical issues，have increasingly leaned towards the United States and the European Union under the combined influence of its own security concerns and the pursuit of economic interests. Consequently，the “two-sidedness” emerged in their stance towards cooperation with China. It can be said that the relations between China and the Balkan countries in 2023 are in a complex situation of intertwined alienation and dependence.