A series of diamondoid-decorated organotin(IV) derivatives of composition Me3Sn(L 1 ) (1), Ph3Sn(L 1 ) (2), {[Me2Sn(L 1 )]2O}2 (3), [BzSn(O)(L 1 )]6 (4), Me3Sn(L 2 )OH2 ( 5), [Ph3Sn(L 2 )]n (6), Bu2Sn(L 2 )2 (7), Bz2Sn(L 2 )2OH2 ( 8) and [BzSn(O)(L 2 )]6 (9) were prepared by reacting appropriate organotin(IV) precursors with either acid forms of the pro-ligands adamantane-1carboxylic acid (HL 1 ) and 2-(adamantan-1-yl)acetic acid (HL 2 ) or their sodium salts.Compounds 1-9 were characterised by spectroscopic techniques, including 119 Sn NMR in non-coordinating solvent for assessment of the solution-state structures. The molecular and crystal structures of 2-8 were established by X-ray crystallography. The packing is largely dictated by hydrophobic interactions with the exception in the crystals of 6, where Sn … O secondary bonding is apparent, and in each of 5 and 8 where O-H … O hydrogen bonding is present leading to a two-dimensional array and zig-zag chains, respectively. The organotin compounds were evaluated for their anti-bacterial activity against 15 human bacterial pathogens. Based on disc diffusion and minimum inhibitory concentration assays, the two triphenyltin species, 2 and 6, and di-n-butyl species, 7, are effective against both Grampositive and Gram-negative bacteria, including methicillin resistant Staphylococcus aureus (MTCC 381123) and Shigella flexneri (ATCC 12022), a causative agent for shigellosis. Time-kill assays showed that 2 and 6 had both time-and concentration-dependent antibacterial effects against susceptible bacteria. Cell viability assays showed that 2 and 6 were moderately toxic to a normal cell line, that is, human embryonic kidney 293T (HEK293T).