Hypoxia and infection are urgent clinical problems in chronic diabetic wounds. Herein, living Chlorella‐loaded poly(ionic liquid)‐based microneedles (PILMN‐Chl) were constructed for microacupuncture oxygen and antibacterial therapy against methicillin‐resistant Staphylococcus aureus (MRSA)‐infected chronic diabetic wounds. The PILMN‐Chl can stably and continuously produce oxygen for more than 30 h due to the photosynthesis of the loaded self‐supported Chlorella. By combining the barrier penetration capabilities of microneedles, the continuous and sufficient oxygen supply of Chlorella and the sterilization activities of PIL, the PILMN‐Chl can accelerate chronic diabetic wounds in vivo by topical targeted sterilization and hypoxia relief in deep parts of wounds. Thus, the self‐oxygen produced microneedles modality may provide a promising and facile therapeutic strategy for treating chronic, hypoxic, and infected diabetic wounds.This article is protected by copyright. All rights reserved