Abstract Titanium-reinforced hydroxyapatite (Ti-HAP) composite coating has been deposited over 254 SMO stainless steel using a Low-Velocity Oxygen Fuel (LVOF) spraying technique. FESEM, XRD, Vickers Microhardness and shear strength tests have been performed to characterize the developed coatings. Further, in-vitro wear behaviors of the coatings were investigated using a pin-on-disc wear tester under simulated body fluid conditions. The results reveal that Ti40-HAP coating possesses superior wear resistance compared to Ti60-HAP, Ti, and HAP coatings, attributed to higher surface hardness and higher shear strength values. Amongst the tested samples, the friction coefficient was lower for Ti coating, followed by Ti60-HAP composite coating. The surface roughness was a prominent factor in reducing the friction coefficient of coating samples. Local detachment and brittle fracture were the dominant wear modes in Ti-HAP coating, whereas an additional micro-ploughing wear mode was observed in pure hydroxyapatite and titanium coating.