Herein, a biologically asymmetric adhesion-patterned hydrogel induced by the dung beetle surface was proposed for internal trauma sealing. The electrostatic interaction-enhanced dual networks endowed the hydrogel patch with superior mechanical performance, thus achieving a favorable sealing ability. Poly(acrylic acid) (pAA), chitooligosaccharide (COS), and gelatin were used as the composition of our hydrogel system. Concurrently, the bionic raised structure enabled a significant adhesion drop effect. The surface waviness function, fitted to the curved bumps, showed the design direction of the patterned bumps, which was indicative of subsequent research. Also, the microparticle deposition method could exert a synergistic effect with the patterned surface, which together contributed to the asymmetry of the adhesive hydrogel patch. Following simulation experiments such as in vitro bursting tests, we conducted a rat gastric trauma model to validate the application potential of this bionic asymmetric patterned patch. The asymmetric adhesion hydrogel patch had an excellent sealing effect, antiadhesive properties, and operability and was expected to have a promising application prospect, providing a strategy for the design of subsequent in vivo trauma-sealing biomaterials.