Title: Target-Free Ligand Scoring via One-Shot Learning. Abstract: Scoring ligands in a library based on their structural similarity to a known hit compound is widely used in drug discovery following high-throughput screening. However, such "similarity search" relies on the assumption that structurally similar compounds have similar activities, and will therefore only retrieve ligands with hit-like affinity, requiring resource-intensive tweaking by medicinal chemists to reach a more active lead compound. We propose a novel approach, One-Shot Ligand Scoring (OSLS), that is much more capable of directly retrieving lead-like compounds from a library using a novel one-shot learning technique. For this new task, we design a Siamese-inspired neural architecture using two Transformer encoders without tied weights, a novel positional encoding-like mechanism, and a final prediction head. OSLS is able to score ligands by activity against a target without any target-specific knowledge beyond a single known activity value, a cost-effective approach to ligand-based or phenotypic drug discovery. We show that OSLS surpasses traditional similarity search as well as modern deep learning baselines on a simulated ligand retrieval task. Furthermore, we demonstrate the applicability of our approach on various drug discovery tasks that also involve ligand scoring, including drug repositioning, precision patient-level drug efficacy prediction, and even molecular generative modeling.