Crystal structure governs material properties, making crystal structure prediction (CSP) a fundamental problem in materials science. Generative models are a promising approach for solving this problem, but the prevalence of polymorphism, coupled with large unit cells and complex packing geometry, makes the molecular CSP task challenging for existing models. To address this, we introduce Coarse-Grained Open Materials Generation (CG-OMatG), an equivariant Riemannian flow-based generative model. CG-OMatG predicts molecular crystal structures via a coarse-grained, hierarchical representation. CG-OMatG treats molecules as rigid bodies—performing both inter- and intra-molecular message passing to construct a geometric representation for molecular packings—and learns to reconstruct molecule centroid positions, orientations, and lattice parameters, conditioned on chemical species and conformer geometry. We train the model on subsets of the Open Molecular Crystals (OMC25) and Cambridge Structural Database (CSD) datasets. Further, we fine-tune the model via policy gradient reinforcement learning to steer the model towards generating low-energy candidate structures. We validate the generated structures on the CSP blind test benchmark, assessing agreement with experimentally determined crystals using COMPACK packing-similarity analysis. CG-OMatG exhibits strong performance for generative molecular crystal structure prediction, paving the way for accelerated polymorph screening and organic solid-state materials discovery.