Provided are a microneedle array capable of improving the visibility of an appearance inspection, and a manufacturing method of the same.A microneedle array is a microneedle array (100) including: a sheet portion (102) having a first surface (102A) and a second surface (102B) which oppose each other; and a plurality of needle portions (112) arranged on the first surface of the sheet portion, in which the second surface of the sheet portion is configured by a rough surface having peak portions (102C) and valley portions (102D), and an average transmittance of the sheet portion in a wavelength range of 300 nm to 740 nm is 75% or less.