Organic electrochemical transistors (OECTs) with high transconductance and good operating stability in an aqueous environment are receiving substantial attention as promising ion-to-electron transducers for bioelectronics. However, to date, in most of the reported OECTs, the fabrication procedures have been devoted to the spin coating processes which may nullify the advantages of large-area and scalable manufacturing. In addition, conventional microfabrication and photolithography techniques are complicated or incompatible with various nonplanar flexible and curved substrates. Herein, we demonstrate a facile patterning method via spray-deposition to fabricate ionic liquid doped poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS)-based OECTs, with a high peak transconductance of 12.9 mS and high device stability over 4000 switching cycles. More importantly, this facile technique makes it possible to fabricate high-performance OECTs on versatile substrates with different textures and form factors such as thin permeable membranes, flexible plastic sheets, hydrophobic elastomers and rough textiles. Overall, the results highlight the spray-deposition technique as a convenient route to prepare high performing OECTs and will contribute to the translation of OECTs into real-world applications.