Special "spa wafers" (Czech: lázeňské oplatky, Slovak: kúpeľné oblátky) are produced in the spa towns of the Czech Republic and the Slovak Republic (e.g. Piešťany).

The production of the wafers in Karlsbad and Marienbad was traditional to the towns' German-speaking population, who, after the ethnic cleansing of the area, brought the craft to Germany.

It is round and hard (sometimes also rolled) decorated with folk symbols and images and text instead of a simple spiral.

They are called opłatek (Latin: oblatum) in Polish, as opposed to wafel, which denotes a common wafer.

A variation of a wafer, considered a part of the traditional cuisine in Argentina, Colombia, Ecuador, Guatemala, El Salvador, Venezuela, and Mexico, is known as an oblea.

The pink wafer is a wafer-based confectionery originally made by Edinburgh's Crawford's Biscuits in the United Kingdom.