| Academy Award Nominations: |
| Best Director: Miloš Forman |
| Best Actor: Woody Harrelson |
|
| Golden Globe Nominations and Winners: |
| Best Picture (Drama) |
| ★ | Best Director: Miloš Forman |
| Best Actress (Drama): Courtney Love |
| Best Actor (Drama): Woody Harrelson |
| ★ | Best Screenplay: Scott Alexander & Larry Karaszewski |
|
| Other Awards: |
| Berlin Film Festival: Golden Bear (Best Picture) |
| Writers Guild of America: Paul Selvin Honorary Award |
| European Film Awards: Outstanding European Achievement in World Cinema |
| New York Film Critics Circle: Best Supporting Actress (Love) |
| Los Angeles Film Critics Association: Best Supporting Actor (Norton; also cited for Everyone Says I Love You and Primal Fear) |
| Boston Society of Film Critics: Best Supporting Actress (Love); Best Supporting Actor (Norton; also cited for Everyone Says I Love You and Primal Fear) |
| National Board of Review: Freedom of Expression Award |
| British Academy Awards (BAFTAs): Best Film Editing |
| Satellite Awards: Best Supporting Actress, Drama (Love); Best Original Screenplay (tie) |