Synecdoche, New York

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

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