The Angiotensin-Converting Enzyme-2 (ACE2) gene, located on Xp22.2, attracts a great deal of attention because the protein it encodes is believed to be the functional cellular receptor for the new coronavirus (SARS-CoV-2). However, recent studies are controversial, especially concerning the intrinsic link between ACE2 diversity and COVID-19 susceptibility. Here, we conducted a population genetic study on ACE2 in 6,354 individuals representing 210 present-day populations and 5,329 individuals of ancient or archaic groups. We dissected the genetic architecture of ACE2 and identified 2 major haplogroups (hg) in East Asians, i.e., ACE2-hg1 (43%) and ACE2-hg2 (53%), while other populations harbor more diverse ACE2-hgs. Accordingly, there was a significant loss of ACE2 common variations in East Asians in contrast to the X-chromosome-wide and genome-wide patterns. Notably, association analysis between ACE2-hgs and COVID-19 severity in 1,229 Han Chinese individuals with various COVID-19 severity showed a higher risk of ACE2-hg1 (odds ratio = 1.56, P<0.01) and a lower risk of ACE2-hg2 (odds ratio = 0.65, P<0.01). Interestingly, ACE2-hg1 is in strong linkage disequilibrium with rs1849863-C, an assumed risk factor of elevated plasma ACE2 level on COVID-19 severity, hospitalization, and infection. Strikingly, remarkable signatures of positive selection were detected especially on ACE2-hg2 which were traced back up to 100 thousand years ago but elevated to a strong level during the Bronze Age about 5,000∼3,000 years ago in East Asians. The selection pressures could have stemmed from multiple sources but pre-COVID-19 viral epidemics and pandemics might be potential driving forces, which consequently contributed to the genetic susceptibility of COVID-19 within and between populations.