The use of photothermal therapy (PTT) with the near‐infrared II region (NIR‐II: 1000–1700 nm) is expected to be a powerful cancer treatment strategy. It retains the noninvasive nature and excellent temporal and spatial controllability of the traditional PTT, and offers significant advantages in terms of tissue penetration depth, background noise, and the maximum permissible exposure standards for skin. MXenes, transition‐metal carbides, nitrides, and carbonitrides are emerging inorganic nanomaterials with natural biocompatibility, wide spectral absorption, and a high photothermal conversion efficiency. The PTT of MXenes in the NIR‐II region not only provides a valuable reference for exploring photothermal agents that respond to NIR‐II in 2D inorganic nanomaterials, but also be considered as a promising biomedical therapy. First, the synthesis methods of 2D MXenes are briefly summarized, and the laser light source, mechanism of photothermal conversion, and evaluation criteria of photothermal performance are introduced. Second, the latest progress of PTT based on 2D MXenes in NIR‐II are reviewed, including titanium carbide (Ti3C2), niobium carbide (Nb2C), and molybdenum carbide (Mo2C). Finally, the main problems in the PTT application of 2D MXenes to NIR‐II and future research directions are discussed.