Existing literature has highlighted the importance of recognizing health fraud offenders’ intentional manipulations of victims’ vulnerabilities. However, the manipulation tactics of health fraud have received little attention. This study aims to extend the current understanding of health fraud by incorporating the concept of emotional labour. Nested in the Chinese context, which owns the most populous ageing population, three sets of qualitative data were collected, including 13 semi-structured interviews, 233 judicial documents, and 197 media reports. The findings suggest that health fraud offenders utilized three types of emotional labour as means of committing crime: including the labour of anxiety relief, the labour of filial piety, and the labour of social networking. This article not only provides novel insights into understanding health fraud, but also contributes to introducing the concept of emotional labour in criminological and socio-legal studies.