Self-powered skin sensors have attracted significant attention in recent years due to their great potential in medical care, robotics, prosthetics, and sports. More importantly, self-powered skin sensors do not need any energy-supply components like batteries, which allows them to work sustainably and saves them the trouble of replacement of batteries. The self-powered skin sensors are mainly based on energy harvesters, with the device itself generating electrical signals when triggered by the detected stimulus or analyte, such as body motion, touch/pressure, acoustic sound, and chemicals in sweat. Herein, the recent research achievements of self-powered skin sensors are comprehensively and systematically reviewed. According to the different monitoring signals, the self-powered skin sensors are summarized and discussed with a focus on the working mechanism, device structure, and the sensing principle. Based on the recent progress, the key challenges that exist and the opportunities that lie ahead are also discussed.