A Little South of Sanity is a live album by American hard rock band Aerosmith, released on October 20, 1998, by Geffen Records.

Three of these, the studio releases Done With Mirrors, Permanent Vacation, and Pump, were finished before Aerosmith agreed to a contract with Columbia Records in 1991.

Instead, a compilation of their hits from the Geffen era, titled Big Ones, was put together and plans for a live album were conceived as Aerosmith went to Columbia.

He is convinced that the album cover artwork was intended to mockingly blame him for the July 15, 1998 incident.

There are no official listings to support where or when each performance was culled from; the CD booklet only mentions they were recorded during the Get a Grip and Nine Lives world tours.