Abstract The demand for medical imaging with reduced patient dosage and higher resolution is growing, driving the need for advanced X‐ray detection technologies. This paper proposes a design paradigm for X‐ray detection semiconductors by coupling constituent motifs through crystal structure engineering. The study introduces a strongly anisotropic Aurivillius‐type quasi‐2D perovskite structure, combining [Bi 2 O 2 ] 2+ groups with stereochemically active lone pair electrons (SCALPEs) and [W/Mo 2 O 7 ] 2− anionic groups, enabling enhanced X‐ray Compton scattering and self‐powered capabilities through local electric field ordering. This results in the first self‐powered Bi‐based tungstate Bi 2 Mo 0.36 W 1.64 O 9 (BMWO) X‐ray detector, achieving a record self‐powered sensitivity of 381 µC Gy −1 cm −2 . Additionally, the study demonstrates the imaging capability of a Bi‐based perovskite X‐ray detector operating in self‐driven mode. The work highlights BMWO as a promising candidate for stable direct detection imaging and validates the material design strategy that leverages the large anisotropy of quasi‐2D structures for sensitive and self‐powered detection.