Designing an effective wayfinding system is very crucial in a hospital. Many hospitals in developing countries like the Philippines create increasing pressure on patients when no proper signage is to be followed in times of emergencies. Wayfinding signages aim to provide patients with correct directions without extensive explanations or complex maps. The purpose of this paper is to present a literature review on different hospital wayfinding signage system evaluation methodologies that may be necessary to establish a standard assessment guide. A comprehensive search using Google Scholar is applied to identify initially relevant studies. There is a total of 1, 780 articles identified from the search for the last ten years (2012-2022). The review found a trend in the evaluation of hospital signages, including the types of signages evaluated, design elements considered, and evaluation methods. The conclusion highlights the need for future research to establish methods that consider multiple design elements for improved hospital signage design.