Monitoring of tiny intracell temperature variations is of high importance to understand the mechanisms of exothermic/endothermic processes inside the living cells. Small shifts in thermal balance may drastically influence cell functioning and induce pathological conditions. By using biocompatible diamond single‐crystal microneedles enriched with nitrogen‐vacancy (NV)/silicon‐vacancy (SiV) color centers, this study demonstrates all‐optical in vitro temperature monitoring in the physiologically significant range (25–55 °C). Zero‐phonon line (ZPL) of SiV centers belonging to the “therapeutic window” is used to improve measurement precision via suppression of the tissue autofluorescence. The simultaneous detection of the NV and SiV fluorescence enables two‐band visualization of the living cells combined with the temperature sensing. This study demonstrates experimentally that temperature can be measured by lifetime, full‐width at half maximum, and peak position of SiV ZPL, while accuracy can be further improved by normalizing the photoluminescence (PL) ZPL peak intensity on the PL signal measured at the wavelength where it is temperature independent. According to performed numerical simulations diamond microneedles enable real‐time temperature measurements because their characteristic heating time is less than 10 ns. The results open a way toward accurate, noninvasive, precise, and real‐time monitoring of temperature variations accompanying intracellular biochemical reactions and processes on the single‐cell level.