In 2019, after winning the North American Script Competition through Soho House in the US, Gracie directed and edited a new short film, Desert, which premiered at the Toronto International Film Festival.

[citation needed] In 2019, Otto was the director of the second series of the Stan original, The Other Guy starring Matt Okine, Claudia Karvan, and Harriet Dyer.

In early 2021, the Stan original series Bump was released starring Claudia Karvan, Natalie Morris, and Angus Sampson.

[citation needed] In 2021, Otto's feature documentary Under the Volcano, about music producer George Martin's 1980s recording studio in Montserrat, was released.

[citation needed] In 2022, she directed four episodes of the Netflix comedy drama series Heartbreak High, for which she was nominated for the AACTA Award for Best Direction in Drama or Comedy.