With the technological developments witnessed in recent decades, nanotechnology and nanomaterials have found uses in several common applications and products we encounter daily. On the other hand, polyurethane (PU) foams represent an extremely versatile material, being widely recognized for their extensive application possibilities and possessing a multitude of fundamental attributes that enhance their broad usability across various application fields. By combining the versatility of PU with the antimicrobial properties of nanoparticles, this emerging field holds promise for addressing the urgent need for effective antimicrobial materials in various applications. In this comprehensive review, we explore the synthesis methods, properties and applications of these nanocomposite materials, shedding light on their potential role in safeguarding public health and environmental sustainability. The main focus is on PU foams containing metal and metal oxide nanoparticles, but a brief presentation of the progress documented in the last few years regarding other antimicrobial nanomaterials incorporated into such foams is also given within this review in order to obtain a larger image of the possibilities to develop improved PU foams.