Superparamagnetic nanogels represent a groundbreaking advancement in nanotechnology, combining the unique properties of superparamagnetic materials with the versatility of nanogels to create multifunctional platforms for biomedical applications. These innovative constructs play a dual role in diagnosis and targeted drug delivery, addressing critical challenges in modern healthcare. This review paper explores the synthesis, characterization, and applications of superparamagnetic nanogels, providing a comprehensive overview of their potential impact in biomedicine. The synthesis section outlines various materials, fabrication techniques, and surface functionalization methods used to enhance their functionality and biocompatibility. Characterization techniques are discussed, focusing on their structural, magnetic, and biological properties. In diagnostic applications, superparamagnetic nanogels excel as contrast agents for magnetic resonance imaging, biosensors, and tools for real-time disease monitoring. Their superior sensitivity and specificity offer unprecedented opportunities for early disease detection and personalized treatment. In drug delivery, these nanogels demonstrate remarkable efficiency in encapsulating therapeutic agents and enabling controlled release. Magnetic guidance enhances targeting precision, minimizing off-target effects and improving therapeutic outcomes, particularly in cancer therapy. The dual-role capability of these nanogels underscores their potential as transformative tools in precision medicine. This review emphasizes recent advancements, highlighting the challenges and future perspectives in optimizing superparamagnetic nanogels for clinical translation. By bridging the gap between innovative design and practical application, this work aims to inspire further research and development in this dynamic field.