Stretchable organic electrochemical transistors (OECTs) are promising for wearable applications within biosensing, bio-signal recording, and addressing circuitry. Efficient large-scale fabrication of OECTs can be performed with printing methods but to date there are no reports on high-performance fully printed stretchable OECTs. Herein, this challenge is addressed by developing fully screen-printed stretchable OECTs based on an architecture that minimizes electrochemical side reactions and improves long-term stability. Fabrication of the OECTs is enabled by in-house development of three stretchable functional screen-printing inks and related printing processes. The stretchable OECTs show good characteristics in terms of transfer curves, output characteristics, and transient response up to 100% static strain and 500 strain cycles at 25% and 50% strain. The strain insensitivity of the OECTs can be further improved by strain conditioning, resulting in stable performance up to 50% strain. Finally, an electrochromic smart pixel is demonstrated by connecting a stretchable OECT to a stretchable electrochromic display. It is believed that the development of screen-printed stretchable electrochemical devices, and OECTs in particular, will pave the way for their use in wearable applications and commercial products. © 2023 The Authors.