X-ray absorption spectroscopy (XAS), in its various modalities, has gained exponential attention and applicability in the field of biological and biomedical systems. Particularly in this field, challenges like low concentration of analyte or proneness to radiation damage have certainly settle the basis for further analytical developments, when using X-ray based methods. Low concentration calls for higher sensitivity-by increasing the detection limits (DL); while susceptibility for radiation damage requires shorter measurement times and/or cryogenic sample environment possibilities. This manuscript reviews the latest analytical possibilities that make XAS more and more adequate to investigate biological or biomedical systems in the last 5 years.Highlights in this review are: Combination of Imaging micro-X-ray Fluorescence spectroscopy (XRF) with XAS, by selecting multiple energies (ME); Total reflection XRF -XAS (TXRF-XAS); High energy resolution fluorescence detection XAS (HERFD-XAS) and resonant Xray emission spectroscopy (RXES); Time resolved XAS (Quick-XAS, Dispersive-XAS, Ultrafast-XAS).