Abstract Today, human life is inseparable from energy for clothing, food, housing, use and travelling, however, traditional resources can no longer meet our energy needs today. Self-powered sensing devices that can run consistently and sustainably without a source of power from the outside are top choices for new energy sources with their unique advantages. Based on advances in the field of materials and manufacturing techniques, it is able to autonomously extract energy from different sources. In this review, we focus on reviewing the current state of research on self-powered wearable sensors, providing a concise overview of energy harvesting technologies, energy conversion mechanisms, structural or material innovations, energy storage and processing platforms. Then,experimental advances in different energy sources are presented, showing their underlying mechanisms, and the potential for energy acquisition. In addition, we discuss applications of self-powered flexible sensors in medicine, sports and food. Despite considerable achievements in this field, widespread commercialization will necessitate enhanced sensor detection abilities, improved design factors for adaptable devices, and a harmony between sensitivity and standardisation.