Up to 50% of the patients with non-small cell lung cancer (NSCLC) have actionable genomic alterations (AGAs), driving the use of targeted therapies. Over the past decade, antibody-drug conjugates (ADCs) -combining a monoclonal antibody, linker, and potent cytotoxic drug to selectively target cancer cells- have emerged as a promising treatment option. This article reviews the available evidence regarding the efficacy and safety of ADCs in patients with NSCLC harbouring AGAs.