Acoustic metamaterials have recently been applied to assist in the remote manipulation of objects in air, showing remarkable potential to alleviate the constraints of non-metamaterial-based acoustic manipulation methods in terms of object size and the force degree of freedom. To extend this approach to underwater manipulation, in this work, we develop a new type of underwater acoustic metamaterial based on a metal-resin composite, offering submillimeter scale feature resolution and high acoustic impedance contrast with water. By designing the surface patterns of the metamaterial, we demonstrate the remote acoustic manipulation of in-water large objects (>20 wavelengths) with 3D translational and rotational degrees of freedom. We then proposed two methods, surface pattern superimposition and frequency multiplexing, to integrate different manipulation forces within a single metamaterial patch. Additionally, we demonstrate more examples of complex object manipulation using multiple metamaterial patches and transducers, such as multi-object, multi-path, non-invasive, and 3D underwater manipulation. Our metamaterial-assisted remote underwater acoustic manipulation will have broad applications in underwater robot actuation, vehicle transportation, manufacturing, drug delivery and minimally invasive surgery.