- Phobos Entertainment (Sandra Schulberg) acquired media rights in December 2004 and announced plans for a feature film and video game based on the book.
- In 2013, the Portland Playhouse and Hand2Mouth Theatre produced a stage-adaptation of The Left Hand of Darkness in Portland, Oregon.
- On 12 April and 19 April 2015, BBC Radio 4 broadcast a two-part adaptation of the novel, starring Kobna Holdbrook-Smith as Genly Ai, Lesley Sharp as Estraven, Toby Jones as Argaven, Ruth Gemmell as Ashe, Louise Brealey as Tibe and Gaum, Stephen Critchlow as Shusgis, and David Acton as Obsle. Each of the two episodes was an hour long. The radio drama was adapted by Judith Adams and directed by Allegra McIlroy. Following the premiere radio broadcast, each of the episodes were made available for online streaming on BBC Radio 4 Extra for a month, via the BBC iPlayer service. The adaptation was created and aired as part of a thematic month centered on the life and works of Ursula LeGuin, in commemoration of her then-recent 85th birthday. In addition to The Left Hand of Darkness radio drama, the thematic month included the airing of a six-part radio adaptation of the main trilogy of novels from Le Guin's Earthsea setting, as well as exclusive interviews with Le Guin herself and the writers she inspired.
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