Severe acute respiratory syndrome coronavirus 2 (Sars-Cov-2) variants in a perpetual state of evolution are persistently challenging the development of medical therapeutics. Continuing beyond the mutation escape of variants requires a specific, stable, point-of-care, modifiable, and low-cost therapeutic reagent for both prophylactic treatment and clinical treatment. The nucleic acid-based approach, aptamer, has become one of the most competitive candidates for this highdemand anti-covid treatment. As current substantial research has consolidated its optimistic biosensor role in the field of detection and diagnostics for Sars-Cov-2, it is undoubtedly worth exploring aptamers as neutralizing agents. The applicability of aptamers with refined advantages should not only allow more possibilities in screening and diagnosis but also confer promising capabilities in neutralization, chimeric therapy, delivery, and vaccines for COVID-19. Therefore, the paper, through the method of literature review, reveals the current state of coronavirus and aptamer, summarizes the recent developments in theranostic aptamers, anti-Sars-Cov-2 neutralizing aptamers, and combined aptamers, and the prospect of aptamer research, including its challenges and focus. The paper concludes that aptamer-based biosensors, rapid antigen tests, and treatments are promising priorities against COVID-19 as diagnostic-aimed and neutralizingaimed aptamers have been developed during the past two years. Although RBD-targeted and multivalent aptamers partly dampen the burden of nonspecificity and low effectivity, pushing into the "in vivo" testing stage and tackling frequent mutation escape should be the future research focus.