In this chapter, the modern uses of hydrogels in pharmaceutical and biomedical applications are revised following an engineering point of view, i.e. focusing the attention on material properties and process conditions. The chapter discusses the applications following the increase in scale-size. First, the nanoscale systems, i.e. hydrogel nanoparticles HNPs , are analysed in terms of preparative approaches polymerization methods and uses of preformed polymers and with a brief mention of the future trends in the field. Secondly, systems based on hydrogel microparticles HMPs are examined following the same scheme polymerization methods, uses of preformed polymers, a mention of novel and future trends . Thirdly, and last but not the least, the hydrogel-based drug delivery systems macroscopic HB-DDSs are presented, focusing in particular on tablets made of hydrogels, discussing the characterization methods and on the modelling approaches used to describe their behaviour. Other macroscopic systems are also discussed in brief. Even if the vastness of the field makes its discussion impossible in a single chapter, the presented material can be a good starting point to study the uses of hydrogels in pharmaceutical and biomedical sciences.