The historical uses for Sardonyx and Onyx consists of a long history of use for hardstone carving and jewelry, where it is usually cut as a cabochon or into beads. It has also been used for intaglio and hardstone cameo engraved gems, where the bands make the image contrast with the ground. Some onyx is natural but much of the material in commerce is produced by the staining of agate.

Onyx was used in Egypt as early as the Second Dynasty to make bowls and other pottery items. Use of sardonyx appears in the art of Minoan Crete, notably from the archaeological recoveries at Knossos.

Brazilian green onyx was often used as plinths for art deco sculptures created in the 1920s and 1930s. The German sculptor Ferdinand Preiss used Brazilian green onyx for the base on the majority of his chryselephantine sculptures. Green onyx was also used for trays and pin dishes – produced mainly in Austria – often with small bronze animals or figures attached.

Onyx is mentioned in the Bible many times. Sardonyx (onyx in which white layers alternate with sard) is mentioned in the Bible as well.