Photothermal sensing is crucial for the creation of smart wearable devices. However, the discovery of luminescent materials with suitable dual-wavelength emissions is a great challenge for the construction of stable wearable optical fibre temperature sensors. Benefiting from the Mn²⁺-Mn²⁺ superexchange interactions, a dual-wavelength (530/650 nm)-emitting material Li₂ZnSiO₄:Mn²⁺ is presented via simple increasing the Mn²⁺ concentration, wherein the two emission bands have different temperature-dependent emission behaviours, but exhibit quite similar excitation spectra. Density functional theory calculations, coupled with extended X-ray absorption fine structure and electron-diffraction analyses reveal the origins of the two emission bands in this material. A wearable optical temperature sensor is fabricated by incorporating Li₂ZnSiO₄:Mn²⁺ in stretchable elastomer-based optical fibres, which can provide thermal-sensitive emissions at dual- wavelengths for stable ratiometric temperature sensing with good precision and repeatability. More importantly, a wearable mask integrated with this stretchable fibre sensor is demonstrated for the detection of physiological thermal changes, showing great potential for use as a wearable health monitor. This study also provides a framework for creating transition-metal-activated luminescence materials.