Synecdoche, New York

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

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