Photodynamic therapy (PDT) is widely used to treat diverse diseases, but its dependence on oxygen to produce cytotoxic reactive oxygen species (ROS) diminishes the therapeutic effect in a hypoxic environment such as solid tumors. Here, we developed a ROS-producing hybrid nanoparticle-based photosensitizer capable of maintaining high levels of ROS under both normoxic and hypoxic conditions. Conjugation of an organometallic ruthenium complex (N3) to a TiO2 nanoparticle afforded TiO2-N3. Upon exposure of TiO2-N3 to light, the N3 injected electrons into TiO2 to produce three- and four-fold greater hydroxyl radicals and hydrogen peroxide, respectively, than TiO2 at 160 mmHg. TiO2-N3 maintained three-fold higher hydroxyl radicals than TiO2 under hypoxic conditions via N3-facilitated electron hole reduction of adsorbed water molecules. The incorporation of N3 transformed TiO2 from a dual type I and II PDT agent to a predominantly type I photosensitizer, irrespective of the oxygen content.