Severe acute pancreatitis (SAP), a special type of acute abdomen, lacks effective treatment methods for clinical diagnosis because of its complex etiology and unclear pathogenesis. Herein, we engineered a structurally controllable gold-doped Prussian blue analogues-based nanozyme by optimizing the preparation procedure as a dual-targeted inhibitor of the NLRP3 inflammasome and inflammatory cytokine pathways for treating SAP. The as-synthesized nanomaterials with different structures, including nanocapsular (CaAuHCF), ultramicro nanocube (CAHCF-Au), and nanocube (CaHCF) structures, exhibit multienzyme-like activities, such as peroxidase (POD), glutathione peroxidase (GPx), and superoxide dismutase (SOD), which are dependent on their structure. Density functional theory (DFT) simulations revealed the underlying mechanisms of differences in reactivity among nanomaterials with different compositions and structures, indicating that the POD catalytic activity of CaAuHCF nanocapsules plays a leading role under physiological conditions. In vitro or vivo experiments confirmed that CaAuHCF nanocapsules can efficiently remove exogenous and endogenous reactive oxygen species (ROS) at the cellular level and are nontoxic. Importantly, the CaAuHCF nanozyme not only is a cytokine regulator that can mediate the level of cytokine factors related to proinflammatory cell pathways (IL-6, TNF-α, and IL-1β) but also acts as an inhibitor of NLRP3 activation to effectively relieve the inflammatory symptoms of SAP through preventing the cleavage of Gasdermin-D into Gasdermin-N via targeted inhibition of cleaved Caspase-1 activation, thus suppressing the pyroptosis of pancreatic and immune cells. Overall, our data highlight the feasibility of CaAuHCF nanocapsules as dual-targeted inhibitors of cytokines and the NLRP3 inflammasome and provide potential nanozyme-based antioxidants for SAP treatment.