The Alto Pistoiese railway, also known as the Pracchia-San Marcello Pistoiese-Mammiano railway, was an Italian narrow-gauge railway line, which ran in the Province of Pistoia between Pracchia and Mammiano with a spur to San Marcello Pistoiese. The railway was operational from 1926 until 1965, and was used by passenger services as well as freight trains.