This review article summarizes the recent advances in measuring and understanding the indentation-induced plastic deformation and fracture behavior of single crystals of a wide variety of organic molecules and pharmaceutical compounds. The importance of hardness measurement for molecular crystals at the nanoscale, methods and models used so far to analyze and estimate the hardness of the crystals, factors affecting the indentation hardness of organic crystals, correlation of the mechanical properties to their underlying crystal packing, and fracture toughness studies of molecular crystals are reviewed.