Mg-Zn-Ca alloy has been attracting increasing attention as a potential biodegradable implant material. In this paper, Mg-3Zn-0.2Ca and Mg-4Zn-0.2Ca alloys were prepared by means of vacuum melting and subsequent hot extrusion process. The influences of Zn content on the microstructure, mechanical properties, and corrosion and wear behavior of Mg-Zn-Ca alloys in simulated body fluid (SBF) were studied. The results show that with increased Zn content, the grain size and corrosion resistance were decreased, while the mechanical strength and wear resistance were increased, under both dry sliding and SBF-lubricated conditions. For the same Mg-Zn-Ca alloy, the wear loss rate under SBF lubrication was higher than dry sliding condition, indicating a strong corrosion-assisted wear effect of SBF to the Mg-Zn-Ca alloy.