Organic gain materials, with the merit of abundant excited-state processes with large stimulated emission cross-section, show considerable potential in lasers. The abundant excited-state processes provide excellent platform for the construction of various forms of energy-level systems, based on which the efficient population inversion and the tailorable gain region are supported. Herein, the development of organic lasers with distinctive energy-level systems is summarized according to the classification of excited-state gain processes including singlet quasi-four-level transition, energy transfer, excimer, charge transfer (CT), excited-state intramolecular proton transfer (ESIPT), and some other novel photophysical processes, giving deep insight into the inherent relationship between energy-level systems and laser action. Finally, the challenges and perspectives for the future development are presented, hopefully to offer valuable enlightenment for the further optimization of energy-level systems toward high-gain organic lasers including electrically pumped organic lasers.