This book constitutes the refereed joint proceedings of the 11th International Workshop on Multimodal Learning for Clinical Decision Support, ML-CDS 2021, held in conjunction with the 24th International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2021, in Strasbourg, France, in October 2021. The workshop was held virtually due to the COVID-19 pandemic.The 10 full papers presented at ML-CDS 2021 were carefully reviewed and selected from numerous submissions. The ML-CDS papers discuss machine learning on multimodal data sets for clinical decision support and treatment planning.