To analyze the role of hospital clowns in different sociocultural contexts and their contribution to the humanization of pediatric care is the objective of this study. Hospitalization, often characterized by a technical and impersonal atmosphere, tends to overlook the emotional dimension of patients, especially children. A qualitative methodology was adopted, with lexical analysis conducted using the IRAMUTEQ software, based on the discourse of hospital clown groups operating in the Middle East, South America, and Western Europe. The main findings indicate that in the Middle East, clowns are integrated as healthcare professionals; in Western Europe, they promote the child’s protagonism in the hospitalization process; and in South America, they act as figures who reframe the hospital’s chaotic environment, offering emotional support in contexts of vulnerability. Notably, in Europe, the strategic role of the “Hospital Liaison” emerged, aiming to articulate the work of clowns with healthcare teams. It is concluded that hospital clowning constitutes an effective strategy for promoting emotional health, reinforcing humanized care. Among its strengths are the reduction of pediatric stress and the improvement of interpersonal relationships in hospital settings. As a limitation, the study highlights the need for greater institutional recognition and formal integration into public health policies.