Purpose of Review <p>This review synthesizes recent evidence on dietary interventions and supplements in the management of hidradenitis suppurativa (HS).</p> Recent Findings <p>Recent findings highlight the potential role of the skin-gut axis and gut microbiome dysbiosis in the pathogenesis of HS. Survey studies indicate that many patients incorporate dietary changes to manage their HS symptoms, with some reporting perceived benefits from Mediterranean, Paleolithic, and ketogenic diets. Elimination of brewer’s yeast shows promising results in survey data, and weak evidence supports zinc and vitamin D supplementation. Increased consumption of dairy and sugar has been associated with worse HS severity and increased HS flares in some cohorts.</p> Summary <p>While dietary modifications and supplements show potential in HS management, current evidence is limited by methodological constraints. Larger, rigorous studies are needed to validate these findings and inform clinical guidelines. Clinicians should cautiously consider dietary approaches alongside conventional therapies in the management of HS.</p>