This review summarizes the synthetic approaches towards 1,2-substitution pattern on the adamantane framework. Selected are the works containing the directed C–H functionalization step.1 Introduction2 Access to 1,2-Disubstituted Derivatives via C–H Insertion Reactions of Electrophilic Organic Species3 Access to 1,2-Disubstituted Derivatives through Hydrogen Radical Abstraction Reactions4 Access to 1,2-Disubstituted Derivatives Exploiting Metal-Catalyzed (Promoted) C–H Activations5 Access to 1,2-Disubstituted Derivatives via Hydride Shift6 Conclusion7 Acronyms