The novel was adapted into the film The Sailor Who Fell from Grace with the Sea starring Kris Kristofferson and Sarah Miles in 1976 by Lewis John Carlino. The setting was changed from Japan to England.
An opera by Hans Werner Henze, Das verratene Meer, is based on the novel; it was premiered in Berlin in 1990. The reception was not good, since a revised version, entitled Goko no Eiko written by Henze under the initiative of the maestro conductor Gerd Albrecht, was adapted to a Japanese libretto close to Mishima's original. The world premiere at Salzburger Festspiele 2005 is released on the label Orfeo, unfortunately without any libretto included.