Organic thermoelectric (OTE) materials promise convenient energy conversion between heat gradients and voltage with flexible and wearable powersupplying devices at a low price. Although a variety of OTE materials are investigated, the TE performance is still far from practical application. To achieve high TE performance, a thorough understanding of the structureproperty relationship in OTE materials is necessary. In this comprehensive review, the fundamentals of OTEs are summarized, the recent achievements of OTE materials are reviewed, and the relationship between structure and properties in high-performance OTE materials is discussed. Furthermore, how the molecular backbones, side chains, energy levels, molecular packing, and heteroatom effect all play vital roles in thermoelectric properties is addressed. Finally, the future direction of research on OTE materials is envisaged.