Two fused ladder-type nonfullerene acceptors, DTCCIC and DTCCIC-4F, based on an electron-donating alkylated dithienocyclopentacarbazole core flanked by electron-withdrawing nonfluorinated or fluorinated 1,1-dicyanomethylene-3-indanone (IC or IC-4F), are prepared and utilized in organic solar cells (OSCs). The two new molecules reveal planar structures and strong aggregation behavior, and fluorination is shown to red-shift the optical band gap and downshift energy levels. OSCs based on DTCCIC-4F exhibit a power conversion efficiency of 12.6%, much higher than that of DTCCIC-based devices (6.2%). Microstructural studies reveal that while both acceptors are highly crystalline, bulk heterojunction blends based on the nonfluorinated DTCCIC result in overly coarse domains, while blends based on the fluorinated DTCCIC-4F exhibit a more optimal nanoscale morphology. These results highlight the importance of end group fluorination in controlling molecular aggregation and miscibility.