The present study aims to evaluate the effect of up to 3 wt.% Nd on pure Zn in terms of physical properties and in vitro analysis. The use of Nd as an alloying element is due to its relatively adequate biocompatibility and its potential capability to reinforce metals with a hexagonal close-packed (HCP) crystal structure, such as Mg and Zn. The microstructural assessment was executed using X-ray diffraction analysis, along with optical and scanning electron microscopy. The mechanical properties were evaluated by hardness and tensile strength testing. The corrosion performance in simulated physiological environments was examined by means of immersion tests, potentiodynamic polarization, and impedance spectroscopy using phosphate-buffered saline (PBS) solution. Cytotoxicity assessment was carried out by indirect cell viability analysis according to the ISO 10993-5/12 standard using Mus musculus 4T1 cells, which are known to be very sensitive to toxic environments. The obtained results clearly highlighted the reinforcing effect of Nd in Zn-base alloys, mainly due to the formation of a secondary phase: NdZn5. This strengthening effect was acquired without impairing the inherent ductility and corrosion performance of the tested alloys. The cytotoxicity assessment indicated that the addition of Nd has a strong favorable effect on cell viability, which stimulates the inherent anti-inflammatory characteristics of Zn.