Manganese‐based nanomaterials have emerged as potential and important nanomedicine for bioimaging and cancer treatment due to their excellent electronic structure and intrinsic physiochemical property and sensitivity to tumor microenvironment (TME). In this review, the recent progress on the synthesis and applications of various manganese oxides, sulfides with well‐controlled size, morphologies, chemical composition, and nanostructures have been summarized. Numerous samples have been chosen as examples to demonstrate the as‐designed Mn‐based nanostructures for their specifically responded to the TME to produce highly toxic reactive oxygen species via Fenton‐like reactions. Some advanced nanotechnology has been widely used to enhance their therapeutic performance on the cancer treatment under external physical field for multimodal imaging and cancer therapy including chemodynamic therapy, photodynamic therapy, sonodynamic therapy, photothermal therapy, radiation therapy, starving therapy, and gas therapy. Perspectives have been presented to demonstrate in this cutting‐edge research area.