Immune profiling supplies insights into the functioning of the immune system, together with the distribution, abundance, and exercise of immune cells. This understanding is important for deciphering how the immune system responds to pathogens, vaccines, tumors, and different stimuli. Analyzing various immune cell sorts facilitates the event of personalised medication approaches by characterizing particular person variations in immune responses. With detailed immune profiles, clinicians can tailor therapy methods to the particular immune standing and desires of every affected person, maximizing therapeutic efficacy whereas minimizing opposed results. On this evaluate, we focus on the evolution of immune profiling, from interrogating bulk cell samples in answer to evaluating the spatially-rich molecular profiles throughout intact preserved tissue sections. We additionally evaluate varied multiplexed imaging platforms lately developed, based mostly on immunofluorescence and imaging mass spectrometry, and their affect on the sector of immune profiling. Figuring out and localizing varied immune cell sorts throughout a affected person’s pattern has already offered necessary insights into understanding illness development, the event of novel focused therapies, and predicting therapy response. We additionally supply a brand new perspective by highlighting the unprecedented potential of nanoparticles (NPs) that may open new horizons in immune profiling. NPs are identified to offer enhanced detection sensitivity, focusing on specificity, biocompatibility, stability, multimodal imaging options, and multiplexing capabilities. Due to this fact, we summarize the latest developments and benefits of NPs, which might contribute to advancing our understanding of immune operate to facilitate precision medication. Total, NPs have the potential to supply a flexible and strong strategy to profile the immune system with improved effectivity and multiplexed imaging energy.