Aerial footage showed all but one of the eight passenger cars resting fully on their right sides, just off a parallel track surrounded by large plots of grass and farmland.
Dozens of trucks and cars lined a nearby street and helicopters could be seen as rescuers assisted the recovery.
More than a dozen people were sitting and standing on the sides of train cars that went off the rails as others comforted one another near the tracks, video posted to social media showed.
Rescuers used ladders to reach people perched on the train’s side. A vehicle axle was among the debris strewn along the track.
“We ask Missourians to join us in praying for all those impacted,” Missouri Governor Mike Parson said on Twitter.
A passenger on the train, Robert Nightingale, told CNN that he had been dozing off when the train derailed.
“I could feel the tracks go back and forth, back and forth, and then it started to go, to tumble on my side of the road,” he said.
Nightingale said that he and others were at a local school.
“There were ambulances all over. They were bringing stretchers to the train, and now there are stretchers here at the school,” he said.
An Amtrak passenger train derailed in north central Montana last September. Three people were killed.
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