Rusty Nail or Rusty nail often refers to:

• Literally, a nail (fastener) covered in rust
• Rusty nail (cocktail), Scotch and Drambuie

The terms may also refer to:

• Rusty Nails (filmmaker), a film director
• Rusty Nails, a children's entertainer who inspired The Simpsons character Krusty the Clown

• Ron Hawkins and the Rusty Nails, a Canadian rock band
• Rusty Nails (album), by Jackie Greene
• "Rusty Nail" (song), by metal band X Japan
• "Rusty Nail", a song by groove metal band Grip Inc.
• Rusty Nails, an EP by Moderat
• Rusty Nail, the villain of the film Joy Ride (2001) and its two sequels, portrayed by actor Ted Levine
• "The Rusty Nail", an episode of Greek