Jacob's Ladder

Tim Robbins

Jacob

Elizabeth Peña

Jezzie

Danny Aiello

Louis

Matt Craven

Michael

Pruitt Taylor Vince

Paul

Jason Alexander

Geary

Patricia Kalember

Sarah

Eriq La Salle

Frank

Ving Rhames

George

Brian Tarantina

Doug

Anthony Alessandro

Rod

Brent Hinkley

Jerry

S. Epatha Merkerson

Elsa

Suzanne Shepherd

Hospital Receptionist

Doug Barron

Group Leader

Jan Saint

Santa

Kisha Skinner

Street Singer

Dion Simmons

Street Singer

Sam Coppola

Taxi Driver

Patty Rosborough

Drunk

Evan O'Meara

Sam

Kyle Gass

Tony

Gloria Irizarry

Mrs. Carmichael

Lewis Black

Jacob's Doctor

Raymond Anthony Thomas

Policeman

Christopher John Fields

Field Medic

Jaime Perry

Field Medic

Michael Tomlinson

Field Doctor

A.M. Marxuach

Field Doctor

Antonia Rey

Woman on Subway

John Capodice

Army Officer

John P. 'Jack' McLaughlin

Army Officer

Bellina Logan

Emergency Ward Nurse

Scott Cohen

Resident Doctor

Davidson Thomson

Evil Doctor

Bryan Larkin

Jed

B.J. Donaldson

Eli

Thomas A. Carlin

Doorman

Carol Schneider

Nurse

Becky Ann Baker

Nurse

Diane Kagan

Nurse

Billie Neal

Della

Mike Stokie

Field Sergeant

James Ellis Reynolds

EMT Bearer

Dennis Rubin Green

Attendant

Brad Hamler

Orderly

Byron Minns

Orderly

Reggie McFadden

Partygoer

Stephanie Berry

Partygoer

Chris Murphy

Partygoer

John-Martin Green

Partygoer

Arleigh Richards

Paul's Wife

Ann Pearl Gary

Mourner

Barbara Gruen

Mourner

Joe Quintero

Street Kid

John Louis Fischer

Machine Gunner

Alva Williams

Masked Man

Elizabeth Abassi

Hospital Patient

Nora Burns

Hospital Patient

Alison Gordy

Hospital Patient

Jessica Roberts

Hospital Patient

Holly Kennedy

Hospital Patient

Blanche Irwin Stuart

Hospital Patient

Perry Lang

Jacob's Assailant

José Alvarez

Factory Worker (uncredited)

Robert Baglia

Tommy, Patient (uncredited)

Steve Baker

Pool Player (uncredited)

Orson Bean

Self - Game Show Panelist (archive footage) (uncredited)

Macaulay Culkin

Gabe (uncredited)

Ray DeFeis

Straight Jacket Patient (uncredited)

Ed Jupp Jr.

Eyeless Doctor (uncredited)