Real-time MRI is a powerful tool to study organ function in a dynamic environment. Many of these regions of interest have both water and fat present, such as the heart and joints. Water/fat separation usually requires multi-echo sequences that utilize chemical shift to distinguish water and fat signals. At 0.55T, the chemical shifts are smaller, making it possible to use long readouts (e.g. spirals) to more efficiently acquire images. Here, we demonstrate spiral out-in-out-in bSSFP imaging combined with region-growing field map estimation for water/fat separation. We demonstrate high quality water/fat separated real-time movies of cardiac function and wrist motion.