Accurate contactless microwave cardiogram (MCG) sensing, which is essential for providing health information, remains a significant challenge in multitarget scenarios. In particular, existing multiple-input–multiple-output (MIMO) frequency-modulated continuous-wave (FMCW) radars struggle to effectively suppress respiratory interference, which impacts the detection of subtle heart motions. Moreover, traditional systems are constrained by spatial resolution, thereby limiting the ability to resolve multitarget, and further degrading MCG extraction performance. To address these challenges, a novel 4-D digital beamforming (DBF) technique is proposed, in which 3-D chest positions of multiple targets, including range, azimuth, and elevation, are localized by the radar with precise beam steering, after which the corresponding micro-Doppler motions are extracted. A newly introduced motion-frequency-domain beamforming (MFDDBF) technique is then employed to achieve 1-D MCG sensing and respiratory interference suppression, enabling linear, efficient, and distortion-free time-domain waveforms extraction of both the fundamental and harmonic components of the respiratory. By removing the respiratory from the chest micromotions, clean MCG signals are obtained. Furthermore, a $K$ -band short-range end-to-end 4T8R sparse MIMO FMCW radar system is designed and implemented, achieving a spatial resolution of 6° in azimuth and 8° in elevation, while providing a 90° field of view (FOV) in both dimensions and maintaining a −6-dB sidelobe level (SLL), which enables effective multitarget separation and significantly enhances the accuracy of MCG sensing. Experiments were conducted to validate the system. The results demonstrate that the system achieves an accurate multitarget MCG sensing and a root-mean-squared error (RMSE) of 10 ms for RR interval, highlighting its potential for radar-based vital sign monitoring applications.