John Callahan

Joaquin Phoenix

Donnie

Jonah Hill

Annu

Rooney Mara

Dexter

Jack Black

Tim

Tony Greenhand

Suzanne

Carrie Brownstein

Reba

Beth Ditto

Corky

Kim Gordon

Mike

Mark Webber

Hans

Udo Kier

Martingale

Ronnie Adrian

Jesus Alvarado

Emilio Rivera

Skateboarder #1

Ethan Tindukasiri

Skateboarder #2

Sunny Suljic

Terry Alvarado

Angelique Rivera

Skateboarder #3

Cree Kawa

Bonnie

Rebecca Rittenhouse

Skateboarder #4

Nolan Gross

Cindy

Jessica Jade Andres

Older Nurse

Alexandra Malick

Margie Bighew

Rebecca Field

Skateboarder #5

Leo Phoenix

Nurse Lilly

Olivia Hamilton

Ward Doctor

Kyle Dunnigan

Debbie

Santina Muha

Bill in Wheelchair

Ken Tatafu

Charles-Marie

Christopher Thornton

Nurse at Rancho Hospital

Daniella Garcia

Roger Fairies

Edgar Momplaisir

Doctor Mirione

Peter Banifaz

Virginia

Anne Lane

Car Attendant

Torian Miller

Older Nurse

Alexandra W.B. Malick

Editor #2

Matt Bennett

Editor #3

Joe Baken

Mr. Katz

Ron Perkins

Shannon

Heather Matarazzo

PSU Teacher

Michael Chow

Police Office #1

Ryan Meharry

Bakery Woman

Cathy Fielding

Cowboy Wino

John Bishop

Wino One

Ronnie Clark

Junior Wino

Jonathan Erickson Eisley

Powell's Information Person

Betsy Sodaro

Felix - AA Member #1

Jedediah Jones

Joseph - AA Member #2

Lou Wilson

Department Store Man

John Balma

Brenda

Ayden Mayeri

Drinker

Nick Rutherford

Drinker

Ramy Youssef

Levon - Man on Bike

Robby Rasmussen

Cabbie

Maxwele D'Angelo

Woman on Bus

Helen Slayton-Hughes

School Teacher

Bruce Richmond Chambers

Young John Callahan

Ethan Michael Mora

Young John's Brother #1

Kade Martinez

Young John's Brother #2

Brady Nuthall

Young John's Sister

Isabella Baltodano

John's Ghost Mom

Mireille Enos

Cocktail Waitress

Erica Jade Goldsmith

Liquor Store Owner

Suzy Sincock

Cowboy

Connor Skific

Rancho Therapist

Sheila Brown

John's Roommate - Jesus

Jeffrey Gamble

Police Officer #2

Scott Alan Berk

Long Beach Nurse

Patricia Widuch

Physical Therapist

Dion Earl

Orderly

Jim Kwiatkowski

Woman with Dog

Kelli McNeil-Yellen

Willamette Week Editor

Gus Van Sant

Elias (uncredited)

Steve Zissis

Booth Operator (uncredited)

Jaret Martino