Current object detectors often suffer significant performance degradation in real-world applications when encountering distributional shifts, posing serious risks in high-stakes domains such as autonomous driving and medical diagnosis. Consequently, the out-of-distribution (OOD) generalization capability of object detectors has garnered increasing attention from researchers. Despite this growing interest, there remains a lack of a large-scale, comprehensive dataset and evaluation benchmark with fine-grained annotations tailored to assess the OOD generalization on more intricate tasks like object detection and grounding. To address this gap, we introduce COUNTS, a large-scale OOD dataset with object-level annotations. COUNTS encompasses 14 natural distributional shifts, over 222K samples, and more than 1,196K labeled bounding boxes. Leveraging COUNTS, we introduce two novel benchmarks: O(OD) and OODG. OODOD is designed to comprehensively evaluate the OOD generalization capabilities of object detectors by utilizing controlled distribution shifts between training and testing data. OODG, on the other hand, aims to assess the OOD generalization of grounding abilities in multimodal large language models (MLLMs). Our findings reveal that, while large models and extensive pre-training data substantially enhance performance in in-distribution (IID) scenarios, significant limitations and opportunities for improvement persist in OOD contexts for both object detectors and MLLMs. In visual grounding tasks, even the advanced GPT-4o and Gemini-1.5 only achieve 56.7% and 28.0% accuracy, respectively. We hope COUNTS facilitates advancements in the development and assessment of robust object detectors and MLLMs capable of maintaining high performance under distributional shifts.