This chapter emphases the important role of hydrogen bonding in crystal engineering for preparing fascinating architectures and engineering desired properties. The relatively high directionality and strength of hydrogen bonds make the prediction and control of molecular orientation in organic solids practical and reliable. Especially, strong hydrogen bonds like O-H···O, O-H···N, and N-H···O interactions are more useful. The introduction of supramolecular synthons and retrosynthesis theory has helped crystal chemists a lot in understanding and designing more complex structures. A large number of crystal structures reported in Cambridge Structure Database (CSD) provided a helpful tool for searching and analyzing specific interaction modes. Up to now, with the development of basic concepts and principles and the wide applications, the subject of crystal engineering has matured. Various intriguing structures and complicated entanglements have been constructed based on hydrogen bonds, such as nanocapsules, nanotubes, and n-Borromean arrayed topologies. The crystal engineering strategy has lent chemists the ability to control solid state reactions regio-and stereo-specifically and improve the physicochemical properties of drugs using pharmaceutical cocrystals. In addition, it will be seen that hydrogen bonding can also be used to prepare robust porous materials for gas adsorption and separation.