The show was first seen in Europe in an Austrian production billed as European Premiere by Theater im Neukloster in 2007 using the German title "Beth und ihre Schwestern" ("Beth and her sisters"). The German premiere using the same translation (but slightly different title "Betty und ihre Schwestern") was mounted in 2010 by Waldbühne Kloster Oesede. It was brought to the Hope Mill Theatre in Manchester in 2017 lead by Amie Giselle-Ward in the title role of Jo March. Bronagh Lagan directed with musical direction from Rickey Long in a production also billed as the European Premiere.