Hypertension, commonly referred to as high blood pressure, affects nearly half of adults globally and is a major risk factor for heart disease, stroke, and kidney failure. While medications and lifestyle changes like exercise and stress management are often prescribed for managing hypertension, dietary choices are equally impactful. Among these, fermented foods like kimchi, sauerkraut, miso, and yogurt have gained attention for their potential in regulating blood pressure. These foods, rich in probiotics and bioactive compounds, support cardiovascular health through mechanisms such as gut microbiome modulation, inflammation reduction, and improved vascular function. This article explores the role of fermented foods in hypertension management, backed by scientific evidence.