Jennifer Connelly Marion Silver
Keith David Big Tim
Jared Leto Harry Goldfarb
Dylan Baker Southern Doctor
Marlon Wayans Tyrone C. Love
Christopher McDonald Tappy Tibbons
Denise Dowse Tyrone's Mother
Stanley B. Herman Uncle Hank
Darren Aronofsky Director, Screenplay, Visitor (uncredited)
Marcia Jean Kurtz Rae
Ellen Burstyn Sara Goldfarb
Mark Margolis Mr. Rabinowitz
Ben Shenkman Dr. Spencer
Bill Buell Court Doctor
Henry Stram ECT Technician
Judy Chin Key Makeup Artist
Matthew Libatique Director of Photography
Jill Purdy Dialogue Editor
Shaun O'Hagan Ward Attendant Seto
Olga Merediz Malin & Block Secretary
Suzanne Shepherd Mrs. Scarlini
Ajay Naidu Mailman
Jack O'Connell Corn Dog Stand Boss
Roy Farfel Stunts
Martin Bernstein Construction Coordinator
Peter Maloney Dr. Pill
Charlotte Aronofsky Mrs. Miles
Louise Lasser Ada
James Chinlund Production Design, Space Oddity
Will Arnot Steadicam Operator
Tom Johnson Sound Re-Recording Mixer
Timothy Bird First Assistant Director
Mary Vernieu Casting
Anne McCarthy Casting
Steve Baine Foley Artist
Laura Jean Shannon Costume Design
Drew Jiritano Special Effects Coordinator
Jennifer Getzinger Script Supervisor
Craig Henighan Sound Effects Designer, Sound Effects Editor
Paul LeBlanc Hair Designer
Ron Mellegers Foley Mixer
Tony Sereno Sound Re-Recording Mixer
Marjorie Durand Assistant Makeup Artist
Peter Bucossi Stunt Coordinator
Peter Kelly Foley Mixer
Samia Shoaib Nurse Mall
Scott Franklin Jailer (voice)
Chip Signore Second Assistant Director
Clint Mansell Original Music Composer
Gregg Bello E.R. Doctor
Beau Flynn Executive Producer
Lianna Pai Angelic Nurse
Nelson Ferreira Supervising Sound Editor, ADR Editor
Bob Lacivita ADR Recordist
Brad Zoern Foley Mixer
Ken Ishii Sound Mixer
Nick Wechsler Executive Producer
Douglas Wilkinson Post Production Supervisor
Brian Emrich Sound Designer
Jay Rabinowitz Editor, Music Editor
Jimmie Ray Weeks Prison Guard
Ann Ruark Line Producer
Hubert Selby Jr. Screenplay, Novel, Laughing Guard
Abraham Aronofsky Newspaper Man on Train
Phil Testa Gaffer
Roman Greller Set Dresser
Heather Litteer Big Tim Party Girl
John Baer Still Photographer
Marie Abma Assistant Costume Designer
Perri Pivovar Assistant Editor
Chas Mastin Lyle Russel
Aliya Campbell Alice