Off the Rails may refer to:
*
''Off the Rails'' (TV series), an Irish fashion magazine show
*
''Off the Rails'' (New Zealand TV series), a New Zealand TV show presented by
Marcus Lush
* ''Off the Rails'', a
Railway Series book about Gordon the Big Engine
* ''
Thrillville: Off the Rails'', a theme park simulation video game
*
''Off the Rails'' (play), an adaptation of Shakespeare's ''Measure for Measure'' from a Native American perspective by Randy Reinholz
*
''Off the Rails'' (1921 film), a German silent drama film
*
''Off the Rails'' (2016 film), an American documentary film about Darius McCollum
*
''Off the Rails'' (2021 film), a British comedy-drama film
{{Disambiguation