Intelligent wearable sensors based on MXenes hydrogels are rapidly advancing the frontier of personalized healthcare management. MXenes, a new class of transition metal carbon/nitride synthesized only a decade ago, have proved to be a promising candidate for soft sensors, advanced human–machine interfaces, and biomimicking systems due to their controllable and high electrical conductivity, as well as their unique mechanical properties as derived from their atomistically thin layered structure. In addition, MXenes’ biocompatibility, hydrophilicity, and antifouling properties render them particularly suitable to synergize with hydrogels into a composite for mechanoelectrical functions. Nonetheless, while the use of MXene as a multifunctional surface or an electrical current collector such as an energy device electrode is prevalent, its incorporation into a gel system for the purpose of sensing is vastly less understood and formalized. This review provides a systematic exposition to the synthesis, property, and application of MXene hydrogels for intelligent wearable sensors. Specific challenges and opportunities on the synthesis of MXene hydrogels and their adoption in practical applications are explicitly analyzed and discussed to facilitate cross gemination across disciplines to advance the potential of MXene multifunctional sensing hydrogels.