Jennifer Connelly Marion Silver
Jared Leto Harry Goldfarb
Keith David Big Tim
Dylan Baker Southern Doctor
Marlon Wayans Tyrone C. Love
Denise Dowse Tyrone's Mother
Ajay Naidu Mailman
Olga Merediz Malin & Block Secretary
Christopher McDonald Tappy Tibbons
Will Arnot Steadicam Operator
Marcia Jean Kurtz Rae
Paul LeBlanc Hair Designer
Jack O'Connell Corn Dog Stand Boss
Darren Aronofsky Visitor (uncredited), Director, Screenplay
Stanley B. Herman Uncle Hank
Mark Margolis Mr. Rabinowitz
Ellen Burstyn Sara Goldfarb
Henry Stram ECT Technician
Marjorie Durand Assistant Makeup Artist
Suzanne Shepherd Mrs. Scarlini
Martin Bernstein Construction Coordinator
Peter Maloney Dr. Pill
Perri Pivovar Assistant Editor
Charlotte Aronofsky Mrs. Miles
Louise Lasser Ada
Mary Vernieu Casting
Clint Mansell Original Music Composer
Jill Purdy Dialogue Editor
Roy Farfel Stunts
Jennifer Getzinger Script Supervisor
Ben Shenkman Dr. Spencer
Peter Bucossi Stunt Coordinator
Craig Henighan Sound Effects Editor, Sound Effects Designer
Samia Shoaib Nurse Mall
James Chinlund Space Oddity, Production Design
Lianna Pai Angelic Nurse
Stephen Barden Sound Designer, Music Editor, Dialogue Editor
Shaun O'Hagan Ward Attendant Seto
Tom Johnson Sound Re-Recording Mixer
Gregg Bello E.R. Doctor
Laura Jean Shannon Costume Design
Matthew Libatique Director of Photography
Brian Emrich Sound Designer
Jimmie Ray Weeks Prison Guard
Nick Wechsler Executive Producer
Anne McCarthy Casting
Andrew Tay Foley Mixer
Hubert Selby Jr. Laughing Guard, Novel, Screenplay
Abraham Aronofsky Newspaper Man on Train
Lori Keith Douglas Unit Production Manager
Nelson Ferreira ADR Editor, Supervising Sound Editor
Heather Litteer Big Tim Party Girl
Ron Mellegers Foley Mixer
Peter Kelly Foley Mixer
Marie Abma Assistant Costume Designer
Bill Buell Court Doctor
Steve Baine Foley Artist
Ann Ruark Line Producer
Jay Rabinowitz Editor, Music Editor
Chas Mastin Lyle Russel
Aliya Campbell Alice
Karl Wasserman Boom Operator
Michael Kaycheck Donut Cop
Judy Chin Key Makeup Artist
Sean Gullette Arnold the Shrink
Bob Lacivita ADR Recordist
Gary Martone Key Grip
Robert Dylan Cohen Paramedic Greenhill
Beau Flynn Executive Producer
Janet Sarno Mrs. Pearlman
Timothy Bird First Assistant Director
Ann Goulder Casting