Abstract: The development of highly active, durable, and low-cost electrocatalysts is crucial for electrocatalytic hydrogen production. Ultrathin two-dimensional (2D) nanomaterials have extremely large specific surface areas, making them highly desirable electrocatalyst morphologies. Medium-entropy alloys (MEAs) exhibit compositional tunability and entropy-driven structural stability, making them ideal electrocatalyst candidates. In this study, MoCoNi MEA with ultrathin 2D morphology was successfully developed using a facile ionic layer epitaxial method. The ultrathin 2D MoCoNi MEA showed an excellent oxygen evolution reaction (OER) electrocatalytic performance, with a low overpotential of 167 mV at a current density of 10 mA/cm² and small Tafel slope of 33.2 mV/dec. At the overpotential of 167 mV, the ultrathin 2D MoCoNi MEA exhibited ultrahigh mass activity of 3359.6 A/g, which is three orders of magnitude higher than that of the commercial noble metal oxide RuO₂ (1.15 A/g). This excellent electrocatalytic performance was attributed to the synergy of multiple active metal-induced medium entropies, as well as the ultrathin thickness, which considerably shortened the charge-transfer distance and thus significantly promoted charge transfer. Owing to the natural entropy-stabilizing effect, the ultrathin 2D MoCoNi MEA maintained 90% of the initial current after a continuous OER electrocatalytic test for 134 h, showing impressive electrocatalytic stability. This study opens new avenues for the development of high-performance and low-cost electrocatalyst materials by creating MEAs with ultrathin 2D morphology.