| Directed by | ||
|---|---|---|
 | Arnaud Desplechin | |
| Starring | ||
|---|---|---|
 | Benicio Del Toro | Jimmy Picard |
| Michelle Thrush | Gayle Picard |
| Gary Farmer | Jack |
| Larry Pine | Dr. Karl Menninger |
| Lise Lacasse | Miss Wharton |
| Linda Boston | Head of Admissions |
| Joseph Cross | Dr. Holt |
| Barton Bund | Radiologist |
| Loren Bass | Neurologist |
| Elya Baskin | Dr. Jokl |
| Dennis North | Dr. Braatoy |
| David Lawrence Regal | Biologist |
| Hugh Maguire | Opthalmologist |
| Mathieu Amalric | Georges Devereux |
| Stephen Bridgewater | Officer |
| Danny Mooney | Eric McMurphy |
| Taras Los | Desmond |
| A Martinez | Bear Willie Claw |
| Jim Ochs | Bartender |
| Jennifer Podemski | Doll |
| Anton Bassey | Sam |
| Inga R. Wilson | Alma |
| Gina McKee | Madeleine |
| Matthew Geczy | Sergeant Major Bob |
| Scott Thrun | Sergeant |
| Julie Sifuentes Etheridge | Avy Spring, Sexy Nurse |
| Dakota Padgett | Jimmy Child |
| Samantha Reed | Older Sister |
| Amy Grant | Gayle 19 Years Old |
| Greg Johnson | Judge |
| Michael Murphy | Jimmy's Lawyer |
| Misty Upham | Jane |
| Michael Greyeyes | Allan |
| Shayanna Campbell | Mary-Lou 11 Years Old |
 | Lily Gladstone | Sunshine First Raise |
| Randi Kennerly | Mary-Lou 14 Years Old |
| Thomas D. Mahard | Janitor |
| Ladonna Graham | Teller |
| John Dickerson | Patient |
| Jesse Arehart-Jacobs | Puppeteer 1 |
| Andrew Bruce Mitchell II | Puppeteer 2 |
| Arnold Agee | Bartender |
| Dana Blackstone | Nurse |
| Marc Bowers | Patient |
| Caitlin Burt | Nurse |
| Chris Carlson | Bear |
| Don Cochran | Psych Tech |
| Ryan Diamond | Extra - Student |
| Joseph Grady | Native American Lawyer |
| Nate Hatton | Med Student |
| Judy Jones | Nun at School |
| Paula Loop | Postal Patron |
| Runako Marshall | Patient |
| Ian McCamy | American Soldier |
| Kevin McGaffey | American Soldier |
| Ralph H. Meyer | Rancher |
| Nicholas Ritz | Barber Shop Patron |
| Alan Stefan | Male Nurse 1 |
| Jason Stoneking | Minesweeper |
| Susu Tobia | Doll's Friend |
| Curtis Lee Vest | Bar Patron(extra) |
| Allistair Wyndham | Nick |
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Belgium release date: 11th September 2013 France release date: 11th September 2013 Netherlands release date: 26th September 2013
Slovenia release date: 16th October 2013
Portugal release date: 5th December 2013 United States United Kingdom
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