Hot-electron-driven chemical transformation (HEDCT) represents an emerging research area in utilizing photoresponsive nanoparticles to enable efficient solar-to-chemical conversion. The unique properties of quantum-sized metal nanoparticles (QSMNPs) make them a class of photocatalysts that can generate hot electrons to drive surface chemical reactions with high quantum efficiency. Compared to the conventional thermal-driven chemical reactions, HEDCT offers the advantages of accelerating reaction rate, improving reaction selectivity, and possibly enabling the occurrence of thermodynamically endergonic reactions. Despite its embryonic stage of development, using QSMNPs for HEDCT shows great promise. Herein, a timely overview on the research progress is provided with a focus on the fundamental quantum processes involved in the photoexcitation of hot electrons and the following HEDCT on the surface of QSMNPs. The last section discusses the challenges, which also represent the opportunities for the materials research community, in designing robust QSMNP photocatalysts and understanding the fundamental quantum phenomena in HEDCT.