A tilting inversion exerciser includes a stand for supporting a seat and having two upwardly extended columns, a table includes a frame pivotally attached to the columns for pivoting relative to the stand, and the seat is attached to the frame, two handles are pivotally attached to the stand, and two linking rods are pivotally coupled between the handles and the table for rotating the frame and the seat of the table relative to the stand. A telescopic device is coupled between the table and the stand for guiding and limiting the table to rotate relative to the stand.