Organic narrowband photodetectors (NBPDs) have garnered substantial research attention within optoelectronic technology due to their superior spectral resolution and significant potential for applications in biomedical sensing, machine vision, and hyperspectral imaging. Conventional approaches to achieve spectral selectivity, which rely heavily on discrete optical filters or intricate device engineering strategies (e.g., charge collection narrowing, charge injection narrowing and exciton dissociation narrowing), suffer from inherent limitations including compromised device integration density, increased fabrication complexity, and elevated costs. The absorption spectra of organic optoelectronic materials can be accurately regulated through rational design of molecular structures, which exhibits great superiority in constructing narrowband photodetectors. This perspective reviews organic NBPDs based on narrowband absorption materials, analyzing strategies from both molecular design and aggregation-state modulation perspectives. Molecular design covered include metal phthalocyanines, cyanine dyes, merocyanine dyes, squaraine dyes, donor-acceptor (D-A) systems, multi-resonance (MR) systems, non-charge- transfer (non-CT) systems, and boron-dipyrromethene (BODIPY) derivatives. While conventional dyes and D-A molecules typically achieve detection full width at half-maximum (FWHM) no less than 50 nm, emerging MR and non-CT systems demonstrate exceptional potential for sub-50 nm FWHM. This enhanced narrowness stems from their unique photophysical properties—MR systems feature suppressed vibrational coupling due to non-bonding molecular orbitals, while non-CT systems utilize localized excitons. Aggregation-state control, particularly J-aggregation, is highlighted as a powerful strategy to counteract spectral broadening in solid-state films. J-aggregates, formed by a specific slipped-stack molecular arrangements, exhibit red-shifted sharp absorption due to suppressed vibronic couplings. Despite considerable progress, significant challenges still exist in further compressing FWHM below 20 nm, achieving reliable control over aggregation processes during large-area fabrication, standardizing the reporting of crucial figures of merit like spectral rejection ratio (SRR) to enable fair cross-lab comparisons, and developing materials specifically optimized for key application wavelengths beyond the visible range. Addressing these hurdles demands a synergistic approach combining advanced molecular engineering, precise aggregation control, and innovations in device fabrications to realize the full potential of high-performance organic NBPDs for next-generation optoelectronic applications.