We study the implications of quantum fluctuations of a dispersive medium, under steady rotation, either in or out of thermal equilibrium with its environment. A rotating object exhibits a quantum instability by dissipating its mechanical motion via spontaneous emission of photons, as well as internal heat generation. Universal relations are derived for the radiated energy and angular momentum as trace formulas involving the object s scattering matrix. We also compute the quantum noise by deriving the full statistics of the radiated photons out of thermal and/or dynamic equilibrium. The (entanglement) entropy generation is quantified and the total entropy is shown to be always increasing. Furthermore, we derive a Fokker-Planck equation governing the stochastic angular motion resulting from the fluctuating backreaction frictional torque. As a result, we find a quantum limit on the uncertainty of the object s angular velocity in steady rotation. Finally, we show in some detail that a rotating object drags nearby objects, making them spin parallel to its axis of rotation. A scalar toy model is introduced to simplify the technicalities and ease the conceptual complexities and then a detailed discussion of quantum electrodynamics is presented.