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Carbonyl‐containing derivatives show enduring vitality in the field of thermally activated delayed fluorescence (TADF) materials; they can realize high device efficiency by using both singlet and triplet excitons for electroluminescence. Recently, a system based on fused ketone/amine exhibited huge potential for constructing multi‐resonance TADF (MR‐TADF) emitters, which exhibit higher narrow‐band emission than conventional TADF emitters with twisted donor‐acceptor (D‐A) structure. Herein, we summarize current research progress in both traditional and MR‐type ketone derivatives with TADF characteristics for introducing the molecular design strategy of maintaining high device efficiency while keeping narrow‐band emission profile. We hope this review can inspire the emergence of more high‐performance narrow‐band materials. [ABSTRACT FROM AUTHOR]