Undiagnosed, untreated and generally untethered schizophrenic Julien lives with his pregnant younger sister Pearl, anorexic would-be wrestler brother Chris, sympathetic grandmother, and severely depressed German father.

Ewen Bremner
as Julien

Chloë Sevigny
as Pearl

Werner Herzog
as Father

Evan Neumann
as Chris

Joyce Korine
as Grandmama

Alvin Law
as Card-Playing Neighbor

Brian Fisk
as Pond boy

Miriram Martinez
as Teenage Girl

Edgar Erikkson
as Bearded Man

James Moix
as Dancing Man