Piezocatalytic therapy, which generates reactive oxygen species (ROS) under mechanical force, has garnered extensive attention for its use in cancer therapy owing to its deep tissue penetration depth and less O2‐dependence. However, the piezocatalytic therapeutic efficiency is limited owing to the poor piezoresponse, low separation of electron‐hole pairs, and complicated tumor microenvironment (TME). Herein, a biodegradable, porous Mn‐doped ZnO nanocluster with enhanced piezoelectric effect is constructed via doping engineering. Mn‐doping not only induces lattice distortion to increase polarization but also creates rich oxygen vacancy (OV) for suppressing the recombination of electron‐hole pairs, leading to high‐efficiency generation of ROS under ultrasound (US) irradiation. Moreover, Mn‐doped ZnO shows TME‐responsive multienzyme‐mimic activity to generate ·OH and ·O2‒, as well as glutathione (GSH) depletion ability owing to the mixed valence of Mn (II/III), further aggravating oxidative stress in tumor cells. Density functional theory calculations show that Mn‐doping can improve the piezocatalytic performance because of the enhancement of polarization and enzyme activity of Mn‐ZnO due to the presence of OV. Beneficiating from the US‐triggered boosting of ROS generation and GSH depletion ability, Mn‐ZnO can significantly accelerate the accumulation of lipid peroxide and inactivate glutathione peroxidase 4 (GPX4) to induce ferroptosis. Our work may provide new guidance for exploring novel piezoelectric sonosensitizers for tumor therapy.This article is protected by copyright. All rights reserved