The article provides an update on CRISPR-based therapies, highlighting the first-ever approval of a CRISPR-based medicine, Casgevy, for sickle cell disease and transfusion-dependent beta thalassemia. It discusses the progress, challenges, and future directions of CRISPR clinical trials across various diseases, including blood disorders, chronic bacterial infections, protein-folding diseases, inflammatory diseases, cancers, cardiovascular disease, HIV/AIDS, diabetes, and autoimmune diseases.