The adhesion of marine-fouling organisms to ships significantly increases the hull surface resistance and expedites hull material corrosion. This review delves into the marine biofouling mechanism on marine material surfaces, analyzing the fouling organism adhesion process on hull surfaces and common desorption methods. It highlights the crucial role played by surface energy in antifouling and drag reduction on hulls. The paper primarily concentrates on low-surface-energy antifouling coatings, such as organic silicon and organic fluorine, for ship hull antifouling and drag reduction. Furthermore, it explores the antifouling mechanisms of silicon-based and fluorine-based low-surface-energy antifouling coatings, elucidating their respective advantages and limitations in real-world applications. This review also investigates the antifouling effectiveness of bionic microstructures based on the self-cleaning abilities of natural organisms. It provides a thorough analysis of antifouling and drag reduction theories and preparation methods linked to marine organism surface microstructures, while also clarifying the relationship between microstructure surface antifouling and surface hydrophobicity. Furthermore, it reviews the impact of antibacterial agents, especially antibacterial peptides, on fouling organisms' adhesion to substrate surfaces and compares the differing effects of surface structure and substances on ship surface antifouling. The paper outlines the potential applications and future directions for low-surface-energy antifouling coating technology.