Abstract Reversible imaging probes that allow for the dynamic visualization of the redox cycle between hydroxyl radical (⋅OH) and hydrogen sulfide (H 2 S) are vital to probe the redox imbalance‐involved pathological process in vivo. Herein, we report a reversible ratiometric photoacoustic (PA) imaging nanoprobe ( 1 ‐PAIN) for the real‐time imaging of ⋅OH/H 2 S redox cycle in vivo. 1 ‐PAIN displays a low PA ratio between 690 and 825 nm (PA 690 /PA 825 ), which significantly increases by ≈5‐fold upon oxidation by ⋅OH, and is switched back to the initially low PA 690 /PA 825 value upon reduction by H 2 S. 1 ‐PAIN could dynamically report on the hepatic ⋅OH production in mice during the lipopolysaccharide (LPS)‐induced liver inflammation process, and visualize hepatic H 2 S generation during the N ‐acetyl cysteine (NAC)‐induced anti‐inflammation process. 1 ‐PAIN can act as a useful tool to probe the redox state in living biology, beneficial for the study of redox imbalance‐related diseases.