Directed by Alejandro G. Iñárritu Written by Guillermo Arriaga Cast Sean Penn ... Paul Rivers Naomi Watts ... Cristina Peck Danny Huston ... Michael Carly Nahon ... Cathy Claire Pakis ... Laura Benicio Del Toro ... Jack Jordan Nick Nichols ... Boy Charlotte Gainsbourg ... Mary Rivers John Rubinstein ... Gynecologist Eddie Marsan ... Reverend John Loyd Keith Salter ... Fat Man Antef A. Harris ... Basketball Guy Melissa Leo ... Marianne Jordan Marc Musso ... Freddy (as Marc Thomas Musso) Teresa Delgado ... Gina Trent Dee ... Guard (as Terry Dee Draper) Tony Guyton ... Guard #2 Wayne E. Beech Jr. ... Inmate #1 Keith Lamont Johnson ... Inmate #2 Clea DuVall ... Claudia David Chattam ... Caddie #1 (as David Chattam Jr.) John Boyd West ... Caddie #2 Jeff Schmidt ... Caddie #3 Tony Vaughn ... Al Paul Calderon ... Brown Denis O'Hare ... Dr. Rothberg Anastasia Herin ... Dolores Carlo Alban ... Lucio Hai Quang Tran ... Cashier Annie Corley ... Trish Sharon Bishop ... Receptionist Jerry Chipman ... Cristina's Father Tom Irwin ... Dr. Jones Roberto Medina ... Dr. Molina Arita Trahan ... Dr. Badnews Rodney Ingle ... Barman Catherine Dent ... Ana Kevin Chapman ... Alan (as Kevin H. Chapman) Randall Hartzog ... Friend #1 Verda Davenport ... Friend #2 (as Verda Davenport-Booher) Dorothy Armstrong-Miles ... Female Friend #1 (as Dorothy Armstrong Miles) Barclay Roberts ... Male Friend #1 Lisa Sanchez ... Wife Stephen Bridgewater ... P.I. Michael Finnell ... Fat Prisoner Juan Corrigan ... Valet Charlie B. Brown ... Night Guard Arron Shiver ... Young Doctor Pamela Blair ... Doctor Jennifer Pfalzgraff ... Nurse Lew Temple ... County Sheriff Tricia Branch ... Skinny Woman Uncredited Cast Michael W. Finnell ... Fat Prisoner Jessica Scott ... Cocktail Waitress Produced by Guillermo Arriaga Ted Hope Alejandro G. Iñárritu Robert Salerno Original Music by Gustavo Santaolalla

Additional Info Premiere: September 05, 2003 Theatrical Release: November 21, 2003 DVD Release: March 16, 2004 Country: Distributor: Focus Features Websites: Production Companies This Is That Productions (as This is That) Y Productions Mediana Productions Filmgesellschaft (in association with) (copyright owners) Distributors Focus Features   (2003) (USA) (theatrical) Universal Pictures Home Entertainment (UPHE)   (2004) (USA) (DVD) Universal Pictures Home Entertainment (UPHE)   (2006) (USA) (DVD) (collector's edition) Rating Stats Overall Rating 7.6 / 10 Our Rating 7.3 / 10 Your Friends -- / 10 Male Users 7.0 / 10 Female Users 5.8 / 10 Site Ranking #802 / 20,698 Ratings Breakdown Perfect 4 total ratings Almost Perfect 1 total rating Site Ranking #798 The Lone Ranger (2013) #799 Cube (1997) #800 The Passion Of The Christ (2004) #801 Ghostbusters (2016) #802 21 Grams (2003) #803 The Invisible Man (2020) #804 The Descent (2005) #805 Mother! (2017) #806 The X-Files: Season 6 (1998)