Over the last two decades, there has been a substantial surge in the demand for medical products rooted in biomaterials and tissue engineering. This surge has propelled significant growth in biomedical research. Polymer-based composites, constituting a particularly intriguing category of biomaterials, have become extensively employed in various biomedical applications. This popularity is attributable to their exceptional physical and mechanical characteristics. Bio-polymers, in particular, are gaining widespread use owing to their inherent features, including low density, reduced thermal conductivity, resistance to corrosion, and the ease with which complex shapes can be manufactured. To provide an overview of the development of polymer-based composites in terms of their structure, characteristics, and methods of manufacture. Bioactive polymer-based composites are covered in this topic, including those that have the ability to produce bones, antibacterial, magnetic, electrically conductive, and release oxygen. It also explores non-bioactive polymer-based composites with porogens and reinforcing fillers. Furthermore, various types of reinforcements, such as natural fibers, cellulose, animal fibers, bio-polymers, seed shells, bioceramics, and bio-chemicals, are examined for their role in enhancing mechanical properties like tensile strength, compressive strength, flexural strength, creep behavior and Young’s modulus of these composites. The narrative extends to the discussion of scaffold structures created through particle leaching, 3D additive manufacturing and electrospinning. Each section highlights significant and recent advancements in the utilization of polymer-based composites in biomedical applications.