Cold-adapted organisms face several challenges at low temperatures, including reduced reaction rates. To cope, psychrophiles have developed molecular adaptations including modifying membrane fatty acid composition to maintain fluidity, producing antifreeze proteins, and sensing environmental temperature. Genome analyses have provided insights into these adaptations, showing genes for transporters, enzymes, cryoprotectants, and more. Psychrophilic enzymes have high activity at cold temperatures and potential applications. Overall, synergistic changes across genomes allow psychrophilic lifestyles through increased plasticity and specialized proteins, membranes, and pathways.