Uncontrolled acute haemorrhage remains a leading cause of death in emergency situations such as warfare, traffic accidents and surgical procedures. Current clinical haemostatic materials have numerous limitations such as allowing high levels of blood loss, having slow clotting rates, being non-degradable and being difficult to fit onto complicated wounds. Due to their high water absorption, surface negative charge, ion-exchange capacity, abundant availability and good biocompatibility, clay minerals show promise as haemostatic materials. Herein, we review recent advances in the field of haemostasis involving clay minerals including kaolinite, zeolite, halloysite, montmorillonite and palygorskite, among others. The fabrication methods and performance in vitro and in vivo for these wound dressings are introduced, and their haemostatic properties are correlated with the chemical composition and microstructure of the clays. Then, the haemostatic mechanisms of the clays are discussed. To satisfy the needs of diverse clinical applications, the development of high-performance and functional haemostatic materials based on clay minerals should be conducted via the engineered design of these wound-healing materials. In the future, the integration of multiple functions, including haemostasis, antibacterial activity, promotion of tissue repair/regeneration, high biocompatibility, degradability, ability to fit complicated wound shapes and low cost, will enable the development of next-generation wound dressings based on clay minerals.