We study the existence and uniqueness of direct sum decompositions in additive bicategories. We find a simple definition of Krull-Schmidt bicategories, for which we prove the uniqueness of decompositions into indecomposable objects as well as a characterization in terms of splitting of idempotents and properties of 2-cells endomorphism rings. Examples of Krull-Schmidt bicategories include semisimple 2-categories and the 2-category of finite dimensional linear 2-representations of any 2-group over any field.