Here is a list of items you won't find in the US.
INDIA
In India, selling of beef is prohibited (Hindus revere cows) so you won't find Big Mac's instead you will find Maharaja Mac, which is similar to Big Mac but made of lamb or chicken meat. They also serve a vegetarian burger not found in the US called the McAloo Tikki burger.
GERMANY
In Germany, you get most of the items find in the US plus they serve German beer, so you can have a Big Mac plus a Pilsner beer.
CANADA
In parts of Canada, they have a lobster item called McLobster, a lobster roll, the same sold as McHomard in French spoken parts of Canada.
JAPAN
In Japan, McDonald's has added many items catered to the locals such as Ebi Filet-O (shrimp burger), Koroke Burger (mashed potato, cabbage and katsu sauce), Ebi-Chiki (shrimp nuggets) and a green tea flavored milkshake. Some of these sound healthy; McDonald's can have similar items here and worldwide.
[/img]CHILE
In Chile, burgers are served with avocado paste; no ketchup is used in the burgers.
COSTA RICA
In Costa Rica, McDonald's serve rice. They sell Gallo Pinto which means rice and beans in Spanish.
GREECE
In Greece, burgers are served in pita bread not in buns; they have a Greek Mac, a burger made of patties wrapped in pita bread.
HONG KONG
This is another location, where rice is served. Hong Kong citizens get Rice burgers in McDonald's where the burgers are served between two rice patties rather than on buns.
ISRAEL
McDonald's has 3 kosher restaurants where cheeseburger and dairy products are not served because Jewish Law forbids serving "the child [cow/beef] in its mother's milk [dairy]." They have McShawarma, meat in a pita bread roll.
URUGUAY
In Uruguay, McDonald's has McHuevo (Huevo is eggs in Spanish), a regular hamburger but topped with a poached egg.
