Background & Aims: Acute liver failure (ALF) is a critical inflammatory condition characterized by rapid hepatocyte death, impaired liver regeneration due to the delayed removal of necroptotic cells, and high mortality rates. This study introduces a novel dual-mode action therapeutic approach using extracellular vesicles expressing Signal Regulatory Protein Alpha (SIRP-EVs) derived from genetically engineered mesenchymal stem cells (MSCs). These SIRP-EVs are designed to concurrently resolve necroptosis and promote liver regeneration. Methods: We evaluated CD47 expression across diverse ALF models using histological analysis, flow cytometry, western blot, confocal microscopy, and spatial transcriptomics. EVs were harvested through a 3D bioreactor-based process and subsequently purified. These purified EVs underwent various established characterization assays. After a single systemic injection, CD47-dependent accumulation of SIRP-EVs in liver tissues was evaluated using the in vivo imaging system. The therapeutic efficacy of SIRP-EVs was determined by measuring liver enzyme levels, examining histological changes, tracking survival rates, and analyzing inflammatory cytokine profiles. Results: Our studies identified CD47 and SIRP alpha as promising therapeutic targets for ALF. We developed a scalable 3D bioreactor-based process that produces high-purity SIRP-EVs, which preserve MSC properties and achieve significant production levels. SIRP-EVs effectively bind to and block CD47, a 'don't eat me' signal on necroptotic hepatocytes, while concurrently delivering MSC-derived regenerative proteins to the damaged tissue. Comprehensive in vitro and in vivo studies demonstrate that SIRP-EVs effectively target CD47-overexpressing hepatocytes, reduce liver damage markers, and enhance survival rates in ALF models. Conclusions: These findings highlight the potential of SIRP-EVs as a dual-mode action therapeutic for ALF, offering promising prospects for their application in other inflammatory diseases. Moreover, these results pave the way for advancing engineered EV-based therapies toward clinical implementation.