The team plays their home games at the DCU Center and are the ECHL affiliate of the New York Islanders.

On February 8, 2016, the ECHL announced that Worcester would be home to an expansion team, set to begin play for the 2017–18 season.

The team is owned by Cliff Rucker, with Toby O'Brien initially serving as president and general manager (although O'Brien would leave in May 2016 for an NHL job and replaced by former Worcester Sharks executive, Mike Myers, as president).

[6] The Railers played their first game on October 14, 2017, defeating the Monarchs 4–3 at the DCU Center in front of a crowd of 12,135.

The Railers then started the 2019–20 season with four wins in their first 15 games and fired head coach Jamie Russell.