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Given the serious limitations of traditional antibiotic treatments, including short half-lives, poor targeting, a high risk of adverse effects, and the induction of antibiotic resistance, the development of novel alternative therapies is urgently needed. In recent years, stimulus-responsive nanoplatforms that leverage the site-specific microenvironment of the infection site in conjunction with exogenous stimuli have garnered significant attention for their ability to provide multiple synergistic antimicrobial benefits. Among these, metal-phenolic networks (MPNs) have emerged as an ideal platform for constructing novel smart antimicrobial materials due to their exceptional biocompatibility, highly tunable coordination structures, and intelligent stimulus-responsive properties. This paper systematically reviews the structural characteristics and biosafety fundamentals of MPNs and delves into their multidimensional antimicrobial mechanisms that transcend traditional single-target approaches. Additionally, it comprehensively summarizes the latest advancements in antimicrobial applications of MPNs triggered by both endogenous stimuli (e.g. pH, ROS, enzymes) and exogenous stimuli (e.g. light, electricity, thermo). 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