As a marine fouling organism, barnacles secrete a cement whose proteins self-assemble into stable nanofibers, conferring exceptional underwater adhesion and curing properties. The barnacle cement proteins (BCPs) are of significant interest in biomedicine due to their adhesiveness, water resistance, stability, and biocompatibility, making them ideal for developing novel biomaterials. Additionally, BCPs have wound-healing acceleration and antibacterial properties, offering new insights for antimicrobial biomaterial development. Recently, barnacle-inspired materials have seen extensive research and notable progress in biomedicine. As the understanding of barnacle cement and its adhesion mechanisms deepens, their medical applications are expected to expand. This review summarizes the latest advancements of barnacle biomimetic materials in biomedicine, including their use in adhesives, tissue engineering, drug delivery, and hemostasis, highlighting their characteristics, applications, and potential research directions, and providing a comprehensive reference for the field.