In the last decade, the field of medicine is at the epicentre of recent technological growth and innovation, while major changes have occurred in areas such as tissue engineering, in terms of concepts, knowledge and materials. In this regard, hydrogels are one of the materials of the future, due to their outstanding adaptability, which makes their applications almost endless. These are three-dimensional polymeric networks able to display biomimetic properties, a characteristic that is considered optimal to deliver bioactive principles and engineer injured tissues. Due to their high water content and compatibility with cells, hydrogels may infiltrate into specific or non-specific binding with cell receptors. In addition, with increased concerns about environmental impacts and the emergent request for new eco-friendly materials, researchers are focusing particularly on the application of natural polymer-based hydrogels in the biomedical engineering field, in order to reach non-toxicity, abundance of starting materials, novel features and biomimetic properties. Cellulose and cellulose derivatives represent a class of biopolymers that exhibit the particular capability to participate in different biomedical applications due to their excellent biocompatibility and biodegradability, tunable properties and low cost. This review focuses on the key aspects and recent advances regarding the design, properties and applications of hydrogels based on cellulose and its derivatives, in the broad area of tissue engineering.