User interaction data is an important source of supervision in counterfactual learning to rank (CLTR). Such data suffers from presentation bias. Much work in unbiased learning to rank (ULTR) focuses on position bias, i.e., items at higher ranks are more likely to be examined and clicked. Inter-item dependencies also influence examination probabilities, with outlier items in a ranking as an important example. They are defined as items that observably deviate from the rest and therefore stand out in the ranking. In this paper, we identify and introduce the bias brought about by outlier items: users tend to click more on outlier items and their close neighbors. To this end, we first conduct a controlled experiment to study the effect of outliers on user clicks. Next, to examine whether the findings of our study generalize to naturalistic situations, we explore real-world click logs from an e-commerce platform. We show that, in both scenarios, users tend to click significantly more on outlier items compared to non-outlier items in the same rankings. We show that this tendency holds for all positions, i.e., for any specific position, an item receives more interactions when presented as an outlier as opposed to a non-outlier item. We conclude from our analysis that the outliers’ effect on clicks is a type of bias that should be addressed in ULTR. We therefore propose an outlier-aware click model that accounts for both outlier and position bias, called outlier-aware position-based model (OPBM). We estimate click propensities based on OPBM; through extensive experiments performed on both real-world e-commerce data and semi-synthetic data, we verify the effectiveness of our outlier-aware click model. Our results show the superiority of OPBM against baselines in terms of ranking performance when outlier bias is severe.