The vortex electromagnetic wave radar based on monostatic geometry can realize the imaging of a radar target in both range dimension and azimuth dimension by adjusting vortex electromagnetic wave modes, but it has no ability to distinguish the elevation of the radar target. To achieve three-dimensional imaging of the radar target, a three-dimensional imaging method of vortex electromagnetic wave based on bistatic geometry is proposed. The echo model of the target based on vortex electromagnetic wave in bistatic geometry is constructed firstly. The elevation resolution of the target is realized, and then the three-dimensional coordinate of the target is reconstructed. Moreover, the elevation resolution and the computational complexity of the proposed method are also analyzed. Simulation results demonstrate the effectiveness of the proposed method. The results also illustrate that the array element requirements and the computational complexity of presented algorithm are less than Multiple Signal Classification (MUSIC) algorithm.