Berlin International Film Festival
| Nominated |
In Competition Naked Lunch |
1992 |
| Won |
Silver Bear for Outstanding Artistic Contribution eXistenZ |
1999 |
British Academy of Film and Television Arts
| Nominated |
Best British Film Eastern Promises |
2007 |
Chicago Film Critics Association
| Won |
Best Director A History of Violence |
2005 |
Genie Awards
| Won |
Best Adapted Screenplay Crash |
1996 |
| Won |
Best Adapted Screenplay Naked Lunch |
1992 |
| Won |
Best Adapted Screenplay Dead Ringers |
1989 |
| Nominated |
Best Director Eastern Promises |
2007 |
| Won |
Best Director Spider |
2002 |
| Won |
Best Director Crash |
1996 |
| Won |
Best Director Naked Lunch |
1992 |
| Won |
Best Director Dead Ringers |
1989 |
| Won |
Best Director Videodrome |
1984 |
| Nominated |
Best Director Scanners |
1982 |
| Nominated |
Best Original Screenplay Scanners |
1982 |
| Nominated |
Best Screenplay Videodrome |
1984 |
Golden Satellite Award
| Nominated |
Best Director Eastern Promises |
2007 |
London Film Critics Association
| Nominated |
Best Director A History of Violence |
2005 |
Los Angeles Film Critics Association
| Won |
Best Director Dead Ringers |
1987 |
| Won |
Best Director (Runner-up) A History of Violence |
2005 |
National Board of Review
| Won |
Billy Wilder Award |
2005 |
National Society of Film Critics
| Won |
Best Director A History of Violence |
2005 |
| Won |
Best Director Naked Lunch |
1990 |
New York Film Critics Circle
| Won |
Best Screenplay Naked Lunch |
1991 |
Online Film Critics Association
| Won |
Best Director A History of Violence |
2005 |
Toronto Film Critics Association
| Nominated |
Best Director Eastern Promises |
2007 |
| Nominated |
Best Director A History of Violence |
2005 |



