With more and more fresh food e-commerce platforms to choose from, consumers are easy to switch platform, and it is extremely important to study the consumers’ intention to switch fresh food e-commerce platform. Based on the PPM theory, this paper integrates push factors (price, quality), pull factors (alternative attractiveness, word of mouth) and mooring factors (switching cost, subjective norms, variety seeking), and uses fsQCA method to explore the antecedent configuration path of consumers’ intention to switch fresh food e-commerce platform. The results show that the single antecedent condition can not constitute the necessary condition of high switching intention; there are five equivalent paths for the generation of high switching intention, among which alternative attractiveness and variety seeking play a more universal role in generating high switching intention. This paper helps to reveal the complex causal mechanism of multiple factors jointly influencing consumers’ fresh food e-commerce platform switching intention, providing beneficial enlightenment for fresh food e-commerce enterprises to enhance the stickiness of consumers on the platform.