With the rapid advancement of modern technology, flexible and wearable electronics, particularly electromechanical sensors, have gained considerable attention for motion‐based applications in medical health monitoring and artificial intelligence. Correspondingly, extensive efforts have been dedicated to enhancing their performance and practicality. Electromechanical sensors based on functional composites and structures accurately detect and monitor the body, generating the corresponding output signals. However, there are several limitations in manufacturing composite sensors, such as the selection and combination of functional materials, geometrical structures, constructed conductive pathways, stability of output signals, and operational lifetime. Thus, this review summarizes notable trends in the electromechanical sensors using functional composites and structures. This also provides an overview of different types of electromechanical pressure and strain sensors, exploring their operational mechanisms regarding triboelectricity, piezoelectricity, piezocapacitance, and piezoresistivity. The unique characteristics of functional materials, including conductive polymers, nanostructured metals, and carbon nanomaterials and composites, are analyzed alongside various design concepts for highly flexible and stretchable sensors. Furthermore, potential applications concerning human motion and human–machine interfaces are also recommended. Additionally, several future outlooks are reviewed for insights into future prospects and strategies. Thus, this review can assist readers in understanding current electromechanical devices more accurately.