Manganese-based nanozymes combine the physical and chemical properties of manganese-based nanomaterials with the catalytic activity of natural enzymes, and have the characteristics of easy preparation, low cost, environment friendly and excellent physicochemical properties. As Mn is one of the essential elements in the human body, it is a biocompatible element that plays a physiological role, which allows manganese-based nanozymes for significant applications in the biomedical field, especially in tumor therapy, biosensing and bacterial inhibition. It is worth noting that the conversion of multiple valence states enables Mn to exhibit exquisite catalytic activity, resulting in the exploitation of various manganese-based nanozymes.