The direct C(sp(3))-H functionalization reactions enable the development of green and streamlined synthetic routes for structurally complex molecules by circumventing the pre-activation of the substrates. Herein, we disclose an atom- and step-economic synthetic approach for rapid access to both alpha-(2-indolyl) ketones and alpha-(3-indolyl) ketones, which are privileged structures in bioactive molecules and organic synthesis, though generally prepared by bespoke multi-step strategies. The reaction proceeded via direct acylation of indole benzylic C(sp(3))-H bond under the NHC and photocatalyst catalysis. The mild conditions, broad substrate scope, and predictable regioselectivity among multiple potential reactive sites enable efficient access to alpha-indolyl ketones from readily available 2- or 3-alkyl-substituted indoles. Furthermore, the competitive reaction at the 2- or 3-benzylic position of the 2,3-dialkyl-substituted indoles was systematically studied. Further transformation and bioactivity studies of the obtained alpha-(2- or 3-indolyl) ketones highlight the potential utility of this method.