Extreme environments such as low pressure, high temperature, and intense radiation pose severe challenges for humidity sensors, causing conventional hygroscopic materials to exhibit sluggish responses, drift, and instability. In response, recent research has adopted multi-level strategies involving material modification, structural engineering, and packaging optimization to enhance the adaptability of humidity-sensitive materials in extreme environments. This review examines humidity sensing from an environmental perspective, integrating sensing mechanisms, material classifications, and application scenarios. The performance, advantages, and limitations of six major categories of humidity-sensitive materials, including carbon-based, metal oxides, conductive and insulating polymers, two-dimensional (2D) materials, and composites, are systematically summarized under extreme conditions. Finally, emerging development trends are discussed, highlighting a shift from material-driven to system-driven approaches. Future progress will rely on multidisciplinary integration, including interface engineering, multiscale structural design, and intelligent algorithms, to achieve higher accuracy, stability, and durability in extreme-environment humidity sensing.