• 7-inch

A. "Do You Really Want to Hurt Me" – 4:22

B. "Do You Really Want to Hurt Me" (Dub version) (feat. Pappa Weasel) – 3:38

(Released at least in UK, Canada, Australia, France, West Germany, Italy, Japan, Portugal, Spain, Sweden)

A. "Do You Really Want to Hurt Me" – 4:23

B. "You Know I'm Not Crazy" – 3:35

(Released in USA, Mexico)

• 12-inch

A1. "Do You Really Want to Hurt Me" – 4:22

A2. "Do You Really Want to Hurt Me" (Dub Version) – 3:38

B1. "Love Is Cold" (non-album track) – 4:23

(Released at least in UK, Canada (different cover), USA, Australia, France, West Germany, Italy, Netherlands (different cover), Spain)

• CD single (1992 re-issue)

1. "Do You Really Want to Hurt Me" – 4:22
2. "Do You Really Want to Hurt Me" (Dub Version) – 3:38
3. "Bow Down Mister" (Sitari Bizarri Mix) – 6:24 (Released in Germany in 1992, to promote the compilation album Spin Dazzle)

• CD single (2005 remix)

1. "Do You Really Want to Hurt Me" (DJ LBR 2005 remix) – 3:59
2. "Do You Really Want to Hurt Me" – 4:25

(Released as a remix version in France, to promote the compilation album Culture Club 2005 – Singles & Remixes, with new video)