Metal-based nanocarriers offer a vast spectrum of properties that have revolutionized and extended conventional biomedical therapeutic and imaging approaches. This chapter aims at outlining the framework of metallic nanocarrier systems from synthetic conceptualization and property evaluation to medical implementation. Metal nanocarriers are classified by composition and discussed in groups based on their distinctive properties: localized surface plasmon resonance, superparamagnetism, fluorescence, and photocatalysis. The formation mechanism of metallic nanoparticles and quantum dots is thoroughly discussed, focusing on the wet-chemical approach, followed by the main synthetic strategies to produce and functionalize different types of metal nanocarriers. The characterization methods for each type of metallic nanocarrier are reviewed based on their physicochemical and structural profile. The chapter concludes with their present and prospective therapeutic biomedical applications in cancer, infections, and autoimmune diseases.