There have been ever-growing demands for disinfection of water and air in recent years. Efficient, eco-friendly, and cost-effective methods of disinfection for pathogens are vital to the health of human beings. The photocatalysis route has attracted worldwide attention due to its highly efficient oxidative capabilities and sustainable recycling, which can be used to realize the disinfection purposes without secondary pollution. Though many studies have comprehensively reviewed the work about photocatalytic disinfection, including design and fabrication of photocatalytic coatings, inactivation mechanisms, or practical applications, systematic reviews about the disinfection photocatalysis coatings from fabrication to effort for practical use are still rare. Among different ways of fabricating photocatalytic materials, thermal spray is a versatile surface coating technique and competitive in constructing large-scale functional coatings, which is a most promising way for the future environmental purification, biomedical and life health applications. In this review, we briefly introduced various photocatalytic materials and corresponding inactivation mechanisms for virus, bacteria and fungus. We summarized the thermal-sprayed photocatalysts and their antimicrobial performances. Finally, we discussed the future perspectives of the photocatalytic disinfection coatings for potential applications. This review would shed light on the development and implementation of sustainable disinfection strategies that is applicable for extensive use for controlling pathogens in the near future.