In this article, we introduce SiamMask, a framework to perform both visual object tracking and video object segmentation, in real-time, with the same simple method. We improve the offline training procedure of popular fully-convolutional Siamese approaches by augmenting their losses with a binary segmentation task. Once the offline training is completed, SiamMask only requires a single bounding box for initialization and can simultaneously carry out visual object tracking and segmentation at high frame-rates. Moreover, we show that it is possible to extend the framework to handle multiple object tracking and segmentation by simply re-using the multi-task model in a cascaded fashion. Experimental results show that our approach has high processing efficiency, at around 55 frames per second. It yields real-time state-of-the art results on visual-object tracking benchmarks, while at the same time demonstrating competitive performance at a high speed for video object segmentation benchmarks.