The prevalence and severity of gizzard erosion and ulceration syndrome (GEU) in broilers is affected by a number of predisposing and preventive factors. Two broiler experiments with almost identical basal diets were conducted to investigate the effect of dietary oat hulls, access to litter and the antimicrobial compound narasin on GEU. The effects on particle size of duodenal digesta, ileal starch concentration, caecal Clostridium perfringens counts, necrotic enteritis and production performance were also examined. Oat hulls reduced GEU severity and starch levels in the ileum in both experiments. Access to litter reduced GEU scores when oat hulls were included in the feed. Access to litter also improved feed efficiency and reduced C. perfringens counts. Narasin reduced GEU severity when the feed was supplemented with oat hulls. Oat hulls were associated with improved feed efficiency in Experiment 1 and impaired feed efficiency in Experiment 2. The inconsistent effect of oat hulls on production performance appeared to be related to an association between oat hulls and high C. perfringens counts in Experiment 2; an association that was absent in Experiment 1. In general, oat hulls interacted with litter access and narasin in exerting a positive effect on gizzard health. However, the association between oat hulls and necrotic enteritis detected in Experiment 2 suggests that the positive effect of oat hulls on GEU occasionally may be outweighed by a negative effect on gut health. In conclusion, our findings demonstrate that the severity of GEU in broilers was influenced by non-soluble fibres and narasin.