Tactile sensors have garnered considerable interest for their capacity to detect and quantify tactile information. The incorporation of microstructural designs into flexible tactile sensors has emerged as a potent strategy to augment their sensitivity to pressure variations, thereby enhancing their linearity, response spectrum, and mechanical robustness. This review underscores the imperative for progress in microstructured flexible tactile sensors. Subsequently, the discourse transitions to the prevalent materials employed in the fabrication of sensor electrodes, encapsulation layers, and active sensing mediums, elucidating their merits and limitations. In‐depth discussions are devoted to tactile sensors adorned with microstructures, including but not limited to, micropyramids, microhemispheres, micropillars, microporous configurations, microcracks, topological interconnections, multilevel constructs, random roughness, biomimetic microstructures inspired by flora and fauna, accompanied by exemplar studies from each category. Moreover, the utility of flexible tactile sensors within the realm of intelligent environments is explicated, highlighting their application in the monitoring of physiological signals, the detection of sliding motions, and the discernment of surface textures. The review culminates in a critical examination of the paramount challenges and predicaments that must be surmounted to further the development and enhance the functional performance of tactile sensors, paving the way for their integration into advanced sensory systems.