The book has been adapted into the following works:
- The Lost Honour of Katharina Blum, a 1975 film adaptation of Böll's novel directed by Volker Schlöndorff and Margarethe von Trotta and starring Angela Winkler as Blum, Mario Adorf as Kommissar Beizmenne, Dieter Laser as Tötges and Jürgen Prochnow as Ludwig
- The Lost Honor of Kathryn Beck, a 1984 American TV movie starring Marlo Thomas as Beck and Kris Kristofferson as Ben Cole
- Heinrich Böll - The Lost Honour of Katharina Blum, a radio dramatisation in five parts broadcast as the 15 Minute Drama of the week (formerly the Woman's Hour Drama) on BBC Radio Four for the week commencing 15 October 2012
- Katharina Blum, an opera adaptation by Tilo Medek to a libretto by his wife Dorothea based on the Böll novel, which premiered at the Theater Bielefeld on 20 April 1991