Flexible wearable devices designed to evaluate the biomechanical properties of deep tissues not only facilitate continuous and effective monitoring in basic performance but also exhibit significant potential in broader disease assessments. Recent advancements are highlighted in the structural and principled design of platforms capable of capturing various biomechanical signals. These advancements have led to enhanced testing capabilities concerning spatial scales and resolution modes at different depths. This review discusses the engineering of soft wearable devices for the biomechanical evaluation of deep tissue signals. It encompasses different measurement modes, device design and fabrication methods, integrated circuit (IC) integration schemes, and the characteristics of measurement depth and accuracy. The core discussion focuses on platform development, targeting different monitoring sites and platform structure design, ranging from linear strain gauges and conformal stretchable sensors to complex three-dimensional (3D) circuit-integrated stretchable arrays. We further explore various technologies associated with different measurement mechanisms and engineering designs, as well as the penetration depth and spatial resolution of these wearable sensors. The practical applications of these technologies are evident in the monitoring of deep tissue signals and changes in tissue characteristics. The results suggest that wearable biomechanical sensing systems hold substantial promise for applications in healthcare and research.