Sepsis is a life-threatening disorder that is caused by a dysregulated inflammatoryresponse during an infection. The disease mostly affects pregnant women, newborns, and patients in intensive care units (ICU). Sepsis treatment is a significant part of a country's health budgets. Delay in the therapy causes irreversible failure of various organs due to the lack of blood supply and reduction of oxygen in the tissues and eventually increased mortality. The involvement of four or five organs by sepsis has been attributed to an increased risk of death to over 90%. Although antibiotics are at the first line of sepsis treatment, they do not possess enough potency to control the disease and prevent subsequent organ failure. The immunomodulatory, anti-inflammatory, anti-apoptotic, and anti-microbial properties of mesenchymal stem cells (MSCs) have been reported in various studies. Therefore, theapplication of MSCs has been considered as a potentially promising therapeutic strategy. In preclinical studies, the administration of MSCs has been associated with reduced bacterial load anddecreased levels of pro-inflammatory factorsas well as the improved function of the different vital organs, including heart, kidney, liver, and lungs. The current study provides a brief review of sepsis and itspathophysiology, and then highlights recent findings in the therapeutic effects of MSCs and MSC-derived secretomein improving sepsis-induced organCopyright © 2020 by the Shock Society. Unauthorized reproduction of this article is prohibited.dysfunction.Besides,eligible sepsis candidates for MSC-therapy and the latest clinical findings in these areashave been reviewed.