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Academy of Motion Picture Arts and Sciences
| Nominated |
Best Actress Requiem for a Dream |
2000 |
| Nominated |
Best Actress Resurrection |
1980 |
| Nominated |
Best Actress Same Time, Next Year |
1978 |
| Won |
Best Actress Alice Doesn't Live Here Anymore |
1974 |
| Nominated |
Best Actress The Exorcist |
1973 |
| Nominated |
Best Supporting Actress The Last Picture Show |
1971 |
Academy of Television Arts and Sciences
| Nominated |
Best Supporting Actress in a Miniseries or Made for Television Movie Mrs. Harris |
2006 |
| Won |
Outstanding Guest Actress in a Drama Series Law & Order: Special Victims Unit [TV Series] |
2009 |
| Nominated |
Outstanding Guest Actress in a Drama Series Big Love [TV Series] |
2008 |
British Academy of Film and Television Arts
| Won |
Best Actress Alice Doesn't Live Here Anymore |
1975 |
Chicago Film Critics Association
| Won |
Best Actress Requiem for a Dream |
2000 |
Genie Awards
| Won |
Best Actress The Stone Angel |
2008 |
| Nominated |
Best Actress - Foreign Silence of the North |
1982 |
Hollywood Foreign Press Association
| Nominated |
Best Performance by an Actress in a Miniseries or Motion Picture Made for Television The People vs. Jean Harris |
1981 |
| Nominated |
Best Performance by an Actress in a Motion Picture - Drama Requiem for a Dream |
2000 |
| Nominated |
Best Performance by an Actress in a Motion Picture - Drama Resurrection |
1980 |
| Nominated |
Best Performance by an Actress in a Motion Picture - Drama Alice Doesn't Live Here Anymore |
1974 |
| Nominated |
Best Performance by an Actress in a Motion Picture - Drama The Exorcist |
1973 |
| Nominated |
Best Performance by an Actress in a Motion Picture - Musical or Comedy Same Time, Next Year |
1978 |
| Nominated |
Best Performance by an Actress in a Supporting Role in a Motion Picture The Last Picture Show |
1971 |
Independent Spirit Awards
| Won |
Best Actress Requiem for a Dream |
2000 |
National Board of Review
| Won |
Career Achievement Award |
2000 |
New York Film Critics Circle
| Won |
Best Supporting Actress The Last Picture Show |
1971 |
Screen Actors Guild
| Nominated |
Best Actress Requiem for a Dream |
2000 |
| Nominated |
Best Actress in a Telefilm or Miniseries Oprah Winfrey Presents: Mitch Albom's For One More Day |
2007 |
Toronto Film Critics Association
| Won |
Best Supporting Actress [Runner-up] Requiem for a Dream |
2000 |
