Synecdoche, New York

Joe Lisi as Maurice John Rothman as Dentist Alvin Epstein as Man with Nose Bleed Amy Spanger as Soap Actress Nurse Stephen Adly Guirgis as Davis Alice Drummond as Actress Playing Frances Catherine Keener as Adele Lack Tom Noonan as Sammy Barnathan Tom Greer as Medic Frank Girardeau as Plumber Peter Friedman as Emergency Room Doctor Daniel London as Tom Deirdre O'Connell as Ellen's Mother Charles Techman as Like Clockwork Patient Robert Seay as David Christopher Evan Welch as Pastor Rosemary Murphy as Frances Chris McGinn as Lady at Caden's Mom's Portia as Therapy Patient Actress Elizabeth Marvel as Warehouse Realtor Michael Medeiros as Eric Tim Guinee as Needleman Actor Michael Higgins as Actor Playing Man with Nose Bleed Barbara Haas as Warehouse Actress Nicholas Wyman as Soap Actor Doctor Emily Watson as Tammy Amy Wright as Burning House Realtor Mark Lotito as Minister Frank Wood as Evaluative Services Doctor Samantha Morton as Hazel Jennifer Jason Leigh as Maria Sadie Goldstein as Olive (4 years old) Kristen Bush as Actress Playing Claire Dan Ziskie as Leg Tremor Doctor Philip Seymour Hoffman as Caden Cotard Daisy Tahan as Ariel Michelle Williams as Claire Keen Dianne Wiest as Ellen Bascomb / Millicent Weems Lynn Cohen as Caden's Mother William Ryall as Jimmy Paul Sparks as Derek Robin Weigert as Adult Olive Gerald Emerick as Man in Line Erica Fae as German Woman Hope Davis as Madeleine Gravis Josh Pais as Ophthalmologist Jerry Adler as Caden's Father

Mark Friedberg Production Design Charlie Kaufman Producer, Director, Screenplay Adam Stockhausen Art Direction Sidney Kimmel Producer Jacob Jaffke Intern Jon Brion Original Music Composer, Orchestrator, Conductor Frederick Elmes Director of Photography Spike Jonze Producer Catherine Tate Compositing Supervisor William Horberg Executive Producer Chantal Nong Vo Executive Producer's Assistant Melissa Toth Costume Design Brian Smyj Stunt Coordinator Anthony Bregman Producer Steve Bartek Orchestrator Robert Frazen Editor