Intrinsic conductive ionic hydrogels, endowed with excellent mechanical properties, hold significant promise for applications in wearable and implantable electronics. However, the complexity of exercise and athletics calls for mechanical tunability, facile processability and high conductivity of wearable sensors, which remains a persistent challenge. In this study, we developed a mechanically tunable and high ionic conductive hydrogel patch to approach multi-gesture or motion monitoring. Through adjustment of the ratio of amino trimethylene phosphonic acid (ATMP) and poly(vinyl alcohol) (PVA), the composite hydrogel attains tunable mechanical strength (varying from 50 kPa to 730 kPa), remarkable stretchability (reaching up to 1900% strain), high conductivity (measuring 15.43 S/m), and strong linear sensitivity (with a gauge factor of 2.34 within 100% strain). Benefitting with the tunable mechanical sensitivity, the composite hydrogel patch can perform subtle movement monitoring, such as epidermal pulses or pronounced muscle vibrations; meanwhile, it can also recognize and detect major motions, such as hand gestures. The mechanically tunable composite hydrogel contributes a versatile sensing platform for health or athletic monitoring, with wide and sensitive adoptability.