In the present Chapter, data on the cytotoxic activity of botanicals and phytochemicals from the flora of Africa towards drug sensitive and multidrug-resistant (MDR) leukemia cells were retrieved from scientific databases such as PubMed, ScienceDirect, Scopus, Web of Science, and Google Scholar. Based on the IC50 values recorded in CCRF-CEM cells, we have proposed rationale cut-off point values for the classification of plant-based cytotoxic products. (i) For botanicals [outstanding activity: IC50 ≤ 1 µg/mL, excellent activity: 1 < IC50 ≤ 2 µg/mL, very good activity: 2 < IC50 ≤ 5 µg/mL, good activity: 5 < IC50 ≤ 10 µg/mL, average activity: 10 < IC50 ≤ 15 µg/mL, weak activity: 15 < IC50 ≤ 50 µg/mL, very weak activity: 50 < IC50 ≤ 100 µg/mL, and not active: IC50 values > 100 µg/mL]. (ii) For phytochemicals [outstanding activity: IC50 ≤ 0.5 µM, excellent activity: 0.5 < IC50 ≤ 2 µM, very good activity: 2 < IC50 ≤ 5 µM, good activity: 5 < IC50 ≤ 10 µM, average activity: 10 < IC50 ≤ 20 µM, weak activity: 20 < IC50 ≤ 60 µM, very weak activity: 60 < IC50 ≤ 150 µM, and not active: IC50 > 150 µM]. Using the above established set point values, we have identified the best botanicals as those from Psydium guajava, Dichrostachys cinerea, Zingiber officinale, Curcuma longa, Piper capense, Imperata cylindrica, and P. undulata, and the best phytochemicals as 16β-formyloxymelianthugenin (1), 2β-acetoxy-3, 5-di-O-acetylhellebrigenin (2), 2β-acetoxy-5β-O-acetylhellebrigenin (4), 2β-Hydroxy-3β,5β-di-O-acetylhellebrigenin (5), 2α-hydroxyalantolactone (8), β-acetoxymelianthusigenin (16), hydnocarpin (39), 3,3′ -di-O-methylquercetin-4′ -O-β-D-glucoside (48), 4-hydroxylonchocarpin (49), and arborinine (50). Further in-depth investigations are required on these natural products to produce antileukemia drugs.