The Coming War on China exposes the ring of US bases which are being prepared by Pentagon bosses who chillingly warn "if you want peace, then prepare for war".
US officials are slammed in the film for resenting China's expansion as one of the world's superpowers – which led to the nation being branded the "perfect enemy" for the White House.
Pilger said: "The aim of this film is to break a silence: the United States and China may be on the road to war, and nuclear war is no longer unthinkable."
"You would look at Korea and see American armaments pointing at China, you see Japan which is basically a glove over the American fist.
"I think if I was Chinese I would have a little to worry about with American aggressiveness."
PERFECT NOOSE: 400 US army bases have encircled China with a ring of steel
The majority of the US navy has been deployed to Asia and the Pacific, Pilger claims in the documentary – with the massive military build-up known in Washington as the "Pivot to Asia".
China's economy is continuing to expand and looks to threaten US dominance on the global scene – with confrontations between the powers brewing ever since the Cold War.
Earlier this year, the US deployed nuclear capable bombers to its military base in Guam as the threat of World War 3 boiled through the South China Sea.
The Pacific is one of the most hotly contested regions in the world
US war planner Andrew Krepinevich says airstrikes, US special forces, missile bases, and naval blockades have a "key role in punishing China".
In the film, he said: "Our first president George Washington said 'If you want peace prepare for war'.
"We are responding to provocative behaviour on the part of China and just as we did in the Cold War the idea is to have a position of military strength such that you adversaries are not tempted to act in an aggressive way."
The billionaire said: "We need to make America strong again. We need to make America great again and we need victories."
Trump is predicted to spark a trade war with China amid fears relations could reach crisis point.
The US's history of confrontations with China dating back to the 1800s is also looked at in the documentary.
The Coming War on China will be premiered on UK television at 10.40pm on December 6.