Two-sided thermal media comprising thermal transfer receptive and/or direct thermal thermally sensitive coatings on one or both of a first and a second side thereof are provided. In one embodiment, two-sided thermal media comprising a substrate having a first side and a second side, opposite the first side, and a first and a second thermal transfer receptive coating supported on the respective first and second substrate sides is provided. In another embodiment, two-sided thermal media comprising a substrate having a thermal transfer receptive coating on a first side thereof, and a direct thermal thermally sensitive coating on a second side thereof, is provided. In some embodiments, a direct thermal thermally sensitive coating provided on one or both sides of two-sided thermal media is adapted to image at a temperature different than a temperature at which thermal transfer printing has or can occur.