In the last five years, several excellent reviews about oriented attachment (OA) have evidenced the advances achieved in this research area, detailing the growth mechanism and the kinetic models. The main focus of this review is to examine the dependence of the OA mechanism on the colloidal state and to demonstrate how the colloidal state modifies the OA mechanism. Basically, we can define two main possible approaches to achieve self-organization or mutual orientation of adjacent nanocrystals. One is the effective collision of particles with mutual orientation controlled by the number of collisions. This type of growth occurs in a well dispersed colloidal suspension and results in a statistical growth process. The second way is through coalescence induced by particle rotation. This mechanism must be dominant in a weakly flocculated colloidal state in which there is significant interaction among particles. This type of process leads to the formation of complex structures.