A central question in computer science and statistics is whether efficient algorithms can achieve the information-theoretic limits of statistical problems. Many computational-statistical tradeoffs have been shown under average-case assumptions, but since statistical problems are average-case in nature, it has been a challenge to base them on standard worst-case assumptions. In PAC learning where such tradeoffs were first studied, the question is whether computational efficiency can come at the cost of using more samples than information-theoretically necessary. We base such tradeoffs on $\mathsf{NP}$-hardness and obtain: $\circ$ Sharp computational-statistical tradeoffs assuming $\mathsf{NP}$ requires exponential time: For every polynomial $p(n)$, there is an $n$-variate class $C$ with VC dimension $1$ such that the sample complexity of time-efficiently learning $C$ is $Θ(p(n))$. $\circ$ A characterization of $\mathsf{RP}$ vs. $\mathsf{NP}$ in terms of learning: $\mathsf{RP} = \mathsf{NP}$ iff every $\mathsf{NP}$-enumerable class is learnable with $O(\mathrm{VCdim}(C))$ samples in polynomial time. The forward implication has been known since (Pitt and Valiant, 1988); we prove the reverse implication. Notably, all our lower bounds hold against improper learners. These are the first $\mathsf{NP}$-hardness results for improperly learning a subclass of polynomial-size circuits, circumventing formal barriers of Applebaum, Barak, and Xiao (2008).