Loading efficiency in % 100 weight drug / weight carrierand can reach values >100% in case of carrier = CNT and drug = doxorubicin (Dox). [3,5,7,9] Immobilization of drugs at carbon nanotubes is carried out by encapsulation within a large diameter CNT, [10] by covalent binding [2,6] to modified CNT, or by physical adsorption to the outer surface of pristine CNT. [5,6,8,9] Physical adsorption relies on a mix of (i) electrostatic, (ii) hydrophobic, (iii) π-π interactions, and hydrogen bonding between the drug and CNT or graphene oxide. [11] Because it is reversible, physical adsorption is the smoothest way for drug transport. [5,6,8,9,11] Dox-a dihydroxyanthraquinone derivative-is the most widely used anticancer drug, today. Many papers report on Dox carriers based on graphene oxide [4] and carbon nanotubes. [2,3,5,6,9,12,13] Dox can be reversibly adsorbed on the outer CNT surface and/or encapsulated in the inner space (CNT diameter > 1.3 nm) [10] by a self-assembling process, and Dox@CNT can easily penetrate the cell membrane. [3,14] The supramolecular Dox@CNT complex is reasonably stable, has been characterized by many methods, e.g., UV-vis, [3,5,9] Raman, [1] FTIR, [12] and zeta potential, [7,9] and exhibits a large drug loading efficiency, of 70-130%, as measured by UV-vis. [7,9,15] For additional polyethylene glycol (PEG) functionalized single wall carbon nanotubes loading efficiencies from 50% up to 400% have even been claimed. [5] Transmission electron microscopy (TEM) measurements on the self-assembled systems [7,9,14] show Dox as clusters on CNT, [14] and adsorbed at the interstitial space of helically wrapping polymers, [7,9] as further supported by atomic force microscopy (AFM) [1,3] and (scanning electron microscopy) SEM studies. [1] Recently, scanning tunneling microscopy (STM) results with molecularly resolved Dox physically adsorbed on CNT have been reported, [16] showing Dox on the cylindrical CNT surface in a helical arrangement with a 50° inclination of Dox with respect to the CNT axis. However, the reported STM image does not reveal structural variability and it cannot explain loading efficiencies in the 100-200% range.Several molecular dynamics (MD), semi-empirical, and density functional theory (DFT)-type calculations and modeling approaches have been applied to Dox [10,16] (or other drugs) [17] on CNT. Rodriguez-Galvan used DFT on a fulleroid/Dox complex The well-known drug delivery system "doxorubicin physically loaded on carbon nanotubes" (Dox@CNT) is visualized by scanning tunneling microscopy at the molecular level, revealing rich architectural variability of Dox@ CNT, and allowing to measure and rationalize reported loading efficiencies (80-200%) for the first time from image analysis. Reduction of Dox@CNT is identified as a so far unknown intrinsic release mechanism of biochemically relevance for Dox from Dox@CNT requiring no further CNT surface modification beside Dox loading. Electron injection into Dox@CNT from an electrode or from the biological reducing agent glutathione (GSH) lead...