Conductive hydrogels combine the benefits of soft hydrogels with electrical conductivity and have gained significant attention over the past decade. These innovative materials, including poly(3,4-ethylenedioxythiophene) (PEDOTs)-based conductive hydrogels (P-CHs), are promising for flexible electronics and biological applications due to their tunable flexibility, biocompatibility, and hydrophilicity. Despite the recent advances, the intrinsic correlation between the design, fabrications, and applications of P-CHs has been mostly based on trial-and-error-based Edisonian approaches, significantly limiting their further development. This review comprehensively examines the design strategies, fabrication technologies, and diverse applications of P-CHs. By summarizing design strategies, such as molecular, network, phase, and structural engineering, and exploring both 2D and 3D fabrication techniques, this review offers a comprehensive overview of P-CHs applications in diverse fields including bioelectronics, soft actuators, energy devices, and solar evaporators. Establishing this critical internal connection between design, fabrication, and application aims to guide future research and stimulate innovation in the field of functional P-CHs, offering broad benefits to multidisciplinary researchers.