Classic optimal transport theory is formulated through minimizing the expected transport cost between two given distributions. We propose the framework of distorted optimal transport by minimizing a distorted expected cost, which is the cost under a nonlinear expectation. This new formulation is motivated by concrete problems in decision theory, robust optimization, and risk management, and it has many distinct features compared with the classic theory. We choose simple cost functions and study different distortion functions and their implications on the optimal transport plan. We show that on the real line, the comonotonic coupling is optimal for the distorted optimal transport problem when the distortion function is convex and the cost function is submodular and monotone. Some forms of duality and uniqueness results are provided. For inverse-S-shaped (SS) distortion functions and linear cost, we obtain the unique form of optimal coupling for all marginal distributions, which turns out to have an interesting “first comonotonic, then countermonotonic” dependence structure; for SS distortion functions, a similar structure is obtained. Our results highlight several challenges and features in distorted optimal transport, offering a new mathematical bridge between the fields of probability, decision theory, and risk management. Funding: R. Wang is supported by the Natural Sciences and Engineering Research Council of Canada [Grants CRC-2022-00141 and RGPIN-2024-03728].