Understanding the diet of a species provides important information on various aspects of its ecology. Diet studies are few on the reptile species, of which observation frequency is very low, due to the great difficulty of sampling. We investigated the diet of Orientocoluber spinalis, a long and slender small grassland snake with high rarity and a high extinction risk across northeast Asian countries, by applying regurgitated stomach content analysis and metabarcoding analysis using a developed O. spinalis blocking primer. Among 19 diet samples, which were mainly collected on islands along the west coast of the Korean Peninsula, we determined the food sources of 13 samples, which consisted of four small vertebrate species, the Tsushima smooth skink (Scincella vandenburghi), mountain grass lizard (Takydromus wolteri), Japanese keelback (Hebius vibakari), and lesser white-toothed shrew (Crocidura shantungensis). Among them, O. spinalis most frequently fed on S. vandenburghi (10 of 13 cases). Our results show that O. spinalis mainly forages small reptiles and mammals in grasslands adjoining to lowland forests and could be beneficial for conservation in the field and rearing of this vulnerable species in the facilities.