In this paper, the polyketone (POK) extrusion cast film is manufactured by melt stretching method, and the evolution process of the crystal morphology and mechanical properties with the increase of melt drawing ratio (MDR) are followed. The results show that the melt stretching process produces many micro shish-kebab crystals in the POK. The length of the shish crystal and the thickness of the kebab crystal hardly increase with MDR, but the lateral length of the kebab crystal shows linear growth when MDR exceeds 40. The crystalline morphology of POK is mainly affected by melt relaxation. The molecular chain has sufficient relaxation during cooling at a low MDR (20–40). At this time, micro shish-kebab crystals are mainly randomly arranged. When MDR exceeds 40, the rapid melt stretching shortens the relaxation time of the tie chain between the neighborhood shish crystal, and the atomic force microscopy image shows a typical shish-kebab structure. This experimental result indicates that the formation of the oriented lamella structure may be related to the relaxation of the molecular chains between the micro-shish. When the length of the shish axis and the thickness of the kebab lamellae are similar, it is difficult to distinguish the two.