| Academy Award Nominations and Winners: |
| ★ | Best Actress: Hilary Swank |
| Best Supporting Actress: Chloë Sevigny |
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| Golden Globe Nominations and Winners: |
| ★ | Best Actress (Drama): Hilary Swank |
| Best Supporting Actress: Chloë Sevigny |
|
| Other Awards: |
| Chicago International Film Festival: Best Actress (Swank) |
| Independent Spirit Awards: Best Female Lead (Swank); Best Supporting Female (Sevigny) |
| New York Film Critics Circle: Best Actress (Swank) |
| Los Angeles Film Critics Association: Best Actress (Swank); Best Supporting Actress (Sevigny) |
| Boston Society of Film Critics: Best Actress (Swank); Best Supporting Actress (Sevigny); Best New Filmmaker (Peirce) |
| National Society of Film Critics: Best Supporting Actress (Sevigny) |
| Chicago Film Critics Association: Best Actress (Swank); Best Supporting Actress (Sevigny) |
| National Board of Review: Best First Film; Breakthrough Female Performance (Swank) |
