The booming development of skin‐like soft devices with electronics, optical and interfacial functions have brought increasing attention on the engineering of functional gel materials with well‐defined patterned features. Such devices can greatly benefit from the excellent capability of ink‐ and light‐based lithographic techniques for miniaturization, high‐density and multiplexed integration, as well as design of microstructure‐based functionalities. In this review, recent advances in patterned gel‐based soft devices are provided, with the focus on how to exploit the capability of micro/nanopatterning in realizing high‐performance gel‐based soft electronic and optical devices. Both the development of new patterning strategies and the performance of the patterned functional gels in device applications are highlighted. Diverse patterned micro/nanoscale gel building blocks are first introduced, then the surface‐microstructured gels and gels with patterned inhomogeneity are discussed, in which their applications in soft devices are summarized, such as physio‐/chemo‐sensors, electroluminescent displays, transistors, shape‐morphing actuators, and optical/microfluidic platforms. In conclusion, perspectives on the future directions of this exciting field are presented.