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Self-disinfecting textile materials employing combined photodynamic/photothermal effects enable the prevention of microbial infections, a property that has great potential in healthcare applications. However, smart textiles with stimulus responses to ambient temperature are marvelous materials for enhancing their photothermal applications with additional functions. It is still challenging to realize vivid and contrasting color changes as temperature indicators. Herein, through the in situ growth of PCN-224 metal–organic frameworks (MOFs), the electrospraying of a Ti3C2 MXene colloid, and the screen printing of a thermochromic dye, a smart photothermochromic self-disinfecting textile has been fabricated. An antibacterial inactivation study revealed 99.9999% inactivation toward gram-negative (Escherichia coli ATCC 8099) and gram-positive (Staphylococcus aureus ATCC 6538) bacteria in 30 min. A mechanism study revealed that light-driven singlet oxygen and heat are the main reasons for bacterial inactivation. Interestingly, the fabrics presented photothermal effects not only under a handheld 780 nm NIR laser but also under visible Xe lamp (λ ≥ 420 nm) illumination. The color of the fabrics (S-CF@PCN0.08) changed completely from dark green to dark red when the temperature exceeded 45 °C under Xe lamp illumination. Furthermore, the photothermochromic effect occurred in just 1 s under a 780 nm laser. Taken together, this smart photothermochromic self-disinfecting textile permits a new way to feedback the timely signal of temperature by color change and provides novel insights into the development of self-disinfecting textiles.