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Joaquin Phoenix Johnny Gaby Hoffmann Viv Woody Norman Jesse Scoot McNairy Paul Molly Webster Roxanne Jaboukie Young-White Fern Deborah Strang Carol Sunni Patterson Sunni Jenny Eliscu Waitress Mary Passeri Behavioral Center Nurse Brandon Rush ER Nurse Brey'on Shaw Brey'on / New Orleans Interviewee Todd D'Amour Parade Bystander 1 Beth Bartley Parade Bystander 2 Artrial Clark Parade Bystander 3 Eleanor Halm Simmons Parade Bystander 4 Keisuke Hoashi Dr. Hora Maximilla Lukacs Viv's Friend 1 Nancy Gell Viv's Friend 2 Gita Reddy Dr. Rao Mya Gonzales Detroit Kid 1 Cooper Jack Rubin Detroit Kid 2 Faith Steptore NOLA School Teacher Mahfuzul Islam Pharmacy Employee Na'kyah Adjuman Detroit Interviewee Jayce Garrett Detroit Interviewee Adilem Hernandez Detroit Interviewee Joye Pyronneau Detroit Interviewee Malik Pyronneau Detroit Interviewee Tallulah Smith Detroit Interviewee Tobias Cen New York Interviewee Ambar Perez New York Interviewee Dora Dulge New York Interviewee Roselin Garcia New York Interviewee Louie Nathan New York Interviewee Evan Ortiz New York Interviewee Sophie Suzuki Shih New York Interviewee Tamar Tanis New York Interviewee Elvies Yuan New York Interviewee Devante Bryant New Orleans Interviewee Ethan Clubb New Orleans Interviewee Robin Hand New Orleans Interviewee London Hicks New Orleans Interviewee Rayne King New Orleans Interviewee May Maczka New Orleans Interviewee Steven Stewart New Orleans Interviewee Chrisette Thompson New Orleans Interviewee Leslie Feist Wah Vocals (voice) Elaine Kagan Sarah Klein (uncredited) Kate Adams Viv's Friend (uncredited) Joseph Bishop Dancing Guy (uncredited) Callan Farris Detroit Kid (uncredited) Khadija Emma Neumann Detroit Kid (uncredited)