Coast to Coast AM is a North American (US and Canada) late-night syndicated radio talk show which deals with a variety of topics, but most frequently ones that relate either to the paranormal, or to alleged conspiracies. It was created by Art Bell, airs seven nights a week 10:00 p.m. to 2:00 a.m. Pacific Time, and is distributed by Premiere Radio Networks. Coast to Coast AM covers unusual topics, and is full of personal stories related by callers.

While program content varies, most nights are focused toward the paranormal, and subjects such as the occult, remote viewing, hauntings, shadow people, psychic predictions, metaphysics, conspiracy theories, UFOs, crop circles, cryptozoology, hollow earth theory and science fiction literature, among other paranormal and unusual topics. Since the terrorist attacks carried out in the United States on September 11, 2001, the events of that day (as well as conspiracy theories surrounding them) and current U.S. counter-terrorism strategy have also become frequent themes. George Noory also takes interest in the 2012 Doomsday prediction, and believes something will happen.

After the theme song is played (Giorgio Moroder's "The Chase" from Midnight Express,) the broadcast is typically kicked off with a reading of current events or news stories by the host, usually with at least one bizarre or peculiar story. This is usually followed by a guest interview for the rest of the first hour (with open phone lines if there is enough time), then a lengthier three-hour interview with a second guest. For the last hour of the show, people may call in to ask questions of the second guest.

Every so often, host George Noory will flip the show's format and have the longer interview guest on first to fill the first three hours of the show. In this format, the primary interview begins after the reading of the news and then the first break. In the last hour in this "flipped" format, the last hour will sometimes feature guest with a shorter subject or, more often than not, be simply an hour of open lines.

Occasionally, round table discussions are held on one of the show's common topics. Conventional topics are sometimes discussed, with interviews with notable authors and political talk sometimes featured.

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