Hypoxia playscrucial roles in many diseases and is acentral target for them. Present hypoxia imaging is restricted to the covalent approach, which needs tedious synthesis.Inthis work, anew supramolecular host-guest approach, based on the complexation of ahypoxia-responsive macrocycle with acommercial dye,isproposed. To exemplify the strategy,acarboxylmodified azocalix[4]arene (CAC4A) was designed that binds to rhodamine 123 (Rho123) and quenches its fluorescence.The azo groups of CAC4A were selectively reduced under hypoxia, leading to the release of Rho123 and recovery of its fluorescence.The noncovalent strategy was validated through hypoxia imaging in living cells treated with the CAC4A-Rho123 reporter pair.Supportinginformation and the ORCID identification number(s) for the author(s) of this article can be found under: https://doi.