Ganoderma lucidum is used in East Asian countries for treatment of a variety of diseases such as hypertension, cardiovascular disease, hepatopathy, chronic hepatitis and many cancers. Accumulating evidence has shown that Ganoderma lucidum has significant benefit for the prevention and treatment of different cancers, particularly colorectal cancer. This review summarizes current Ganoderma lucidum research on colorectal cancer in clinical patient studies, animal model for examination, and molecular mechanistic investigations.