A hand tool with an elbow structure includes a handle having a rod longitudinally extending therefrom along an axis of the handle and an elbow structure extending from the rod. The elbow structure has a first section longitudinally connected to the rod along an axis of the rod and a second section slantwise extending from the first section relative to the axis of the rod. The second section forms a first included angle with an axis of the first section and a range of the first included angle is located from 60° to 70°. A driving portion is disposed on a distal end of the second section to be adapted to drive a fastener along an axis of the second section.