Annette Bening as Claire Cooper

Aidan Quinn as Paul Cooper

Stephen Rea as Doctor Silverman

Robert Downey Jr. as Vivian Thompson

Paul Guilfoyle as Detective Jack Kay

Dennis Boutsikaris as Doctor Stevens

Krystal Benn as Ruby

Lonnie Farmer as Nurse Rosco

Margo Martindale as Nurse Floyd

Pamela Payton-Wright as Ethel

Katie Sagona as Rebecca Cooper

Geoffrey Wigdor as Vivian Thompson - As Teenager

Prudence Wright Holmes as Mary

Kathleen Langlois as Snow White

Jennifer Berry as Hunter

Emma J. Brown as Dwarf

Jennifer Dragon as Dwarf

Samantha Kelly as Dwarf

Jennifer Caine Natenshon as Dwarf

Bethany M. Paquin as Dwarf

Erica Sullivan as Dwarf

Amelia Claire Novotny as Prince

Kristin Sroka as Wicked Stepmother

Robert E. Walsh as Man at School Play

Denise Cormier as Woman at School Play

John Fiore as Policeman

Ken Cheeseman as Paramedic

Devon Cole Borisoff as Vivian Thompson - As Boy

June Lewin as Kindly Nurse

Dorothy Dwyer as Foster Mother

Wally Dunn as Walter

Eric Roemele as Security Man - 1970's

Dossy Peabody as Vivian's Mother

John Michael Vaughn as Helicopter Pilot

Brian Goodman as Policeman in Squad Car

Michael Cavanaugh as Judge (voice)

Pete as Dobie

Robert Harrell as Police Officer (uncredited)

Alan Francis Sullivan as Police Officer (uncredited)

Dee Nelson as Teacher (uncredited)

Mylan Janoplis as Diver (uncredited)

Eric Bruno Borgman as Man Trapped in Car (uncredited)