Two-dimensional (2D) bismuth, bismuthene, is an emerging pnictogen family member that has received increasing research attention in the past few years, which could yield exotic electrical, thermal, and optical properties due to unique band structure. This review provides a holistic view of recent research advances on 2D bismuth material synthesis and device applications in complementary metal oxide semiconductor (CMOS) technology. Firstly, the atomic and band structure of bismuthene is reviewed as the fundamental understanding of its physical properties. Then, it highlights material synthesis of 2D bismuth atomic sheets with emphasis on physical vapor deposition method with accurate layer controllability and process compatibility with CMOS technology. Moreover, it will survey latest applications of 2D bismuth in terms of electronic, optic, thermoelectric, spintronic and magnetic nanodevices. 2D bismuth derivatives (Bi–X, X = Sb, Te, Se) will also be mentioned as a promising strategy to further improve device performance. At last, it concludes with a brief summary on the current challenges and future prospects in 2D bismuth and its derivatives for innovative electronics, sensors and other devices compatible with CMOS techniques.