extracellular matrix properties, gives them popularity in applications ranging from drug delivery, [4,5] wound dressing, [6][7][8] and tissue repair. [9,10] Various hydrogels with extraordinary properties have been reported, like tough, [11] stimuliresponse, [12] and optical variable hydrogels. [13] For example, the combination of covalently and ionically cross-linked networks endows hydrogel's excellent mechanical properties, achieving a value of 9000 J m −2 , which is comparable to natural rubber (10 000 J m −2 ). [11] Moreover, hydrogels with "self-growing" property [14] can stand duplicated stretch without ruption but gain a gradual increase in stress instead. However, in contrast to the bulk hydrogel, existing hydrogel adhesives are far from the desired properties. [15] The adhesion energy of commercial adhesives is usually ≈10 J m −2 compared to that of cartilage, composing a robust matrix of 1000 J m −2 and the adhesive layer of 800 J m −2 , respectively. [16] It is worth noting that medical and clinic adhesives should effectively prevent blood loss, gas, and tissue fluids leakage or exposure to the infectious environment or digestive fluids. [17] Thus, adhesion failure ought to result in negative therapy. Adhesion conductive hydrogels are also required to get skinlevel sensitive sensors since any interfacial vacant space will give rise to inaccurate signals. [18,19] As a result, sensors with high resolution and excellent accuracy can not be obtained under such circumstances due to "dead" regions. [20] Therefore, tough interactions between hydrogels matrix and diverse substrate, especially for wet tissues, are vital but challenging issues. [15] Of particularly significant and ideal properties for tough adhesives under stretching, dissipative energy within hydrogel matrix and interactive energy between interfaces is desired to prevent macroscopic movement. [21] By enhancing interfacial interactions via surface chemical modification, surface structuralizing, physical interlocks, or combining the principles mentioned above, a series of adhesive patches or tough adhesives with injectable, tunable curing time, degradable properties have been obtained.Numerous synthetic or natural materials, diverse design strategies, various methods, and many potential applications have emerged. In this review, as shown in Figure 1, we will summarize the state-of-art hydrogel adhesives spanning from design principles, including physical and chemical interactions In virtue of extracellular features, hydrogels have been used in various areas such as tissue repair, artificial skins, and biological electronics, etc. Intact contact of tough hydrogels to targeted surfaces is usually required to avoid blood or body fluids leakage or inaccurate signals of sensors. The collaboration of high interactive energy between interfaces and high fracture toughness of the constituent hydrogels can effectively prevent relatively macroscopic motions of adhesives from substrates under deformation. Nevertheless, variations in surface microenvironment...