Comprehensive SummaryHemostatic hydrogels are widely applied for wound management of damaged tissues, traumatic wounds, and surgical incisions. Some hydrogels composed of bioactive components, including fibrin and thrombin, showed great promise in the clinic due to their good pro‐coagulation effect. Based on the expanding knowledge of cascade catalysis reaction of coagulation and emerging bioactive substances. Recently, massive bioactive hydrogels based on peptides, hemocoagulase, polyphosphate (polyP), etc., have been developed as hemostatic materials. Based on the coagulation process and mechanism, we summarize the role of reported bioactive hydrogels in hemostasis in this review. We conclude the key points in the coagulation process, including activation of coagulation factors, fibrinogen polymerization, etc., then discuss how to design bioactive hydrogels to accelerate coagulation targeted to these points. Finally, we conclude the progress and propose a perspective of bioactive hydrogels with a pro‐coagulation effect for hemostasis.This article is protected by copyright. All rights reserved.