Photothermal therapy (PTT) has shown significant potential in cancer treatment. However, developing nanomaterial-based photothermal agents with good biocompatibility and high photothermal conversion efficiency (PTCE) remains a key challenge. Titanium has been widely employed as biomedical materials based on their excellent biocompatibility. In this work, the titanium based plasmonic photothermal therapy (Ti-PPTT) is demonstrated. Using the liquid-phase exfoliation (LPE), the metallic Ti can be fabricated into the two-dimensional (2D) nanosheets (NSs), similar to exfoliating other layered 2D materials. The 2D Ti NSs exhibited good biocompatibility, high extinction coefficient of 20.8 Lg-1cm1 and high PTCE of 73.4%, owing to localized surface plasmon resonances (LSPR); which is significantly higher than other photothermal agents, including Au (21%), MoS2 (24.4%), BP (28.4%) and Ti3C2 MXene (30.6%). Consequently, 2D Ti-PPTT exhibited a notable therapeutic effect in a human hepatocellular carcinoma model without side effects. Our study could pave a new avenue for PTT using metal Ti and arouse a wide interest in the potential efficient PTT for other elemental transition metals owing to their LSPR. Furthermore, the efficient photothermal effect and environmental friendliness of Ti NSs make them deserve more research toward other application, such as solar energy harvesting and sea water desalination.