black comedy   based on novel   beating   dream   christmas   hell   alcoholic   face slap   ambulance   blood   new york city   fire   manhattan new york city   falling from height   empire state building manhattan new york city   suicide attempt   prostitute   blood spatter   1990s   blood on shirt   drug dealer   car crash   heroin   coma   broken leg   drug abuse   very little dialogue   head wound   prostitution   impalement   director cameo   broken windshield   storm   ghost   childbirth   drug overdose   burial   attempted suicide   catholic   product placement   goth   box office flop   tied to a bed   isolation   blockbuster   imaginary friend   insomnia   barefoot   loneliness   time lapse photography   covered in blood   severed foot   screaming in pain   paramedic   baseball bat   bloody body of child   cardiac arrest   carried over back   cpr   dead baby   emergency   euthanasia   medical   mercy killing   wrist slitting   ecstasy   fast motion scene   airplane accident   fictional drug   guilt complex   lost love   time   volleyball   seemingly widowed   tooth extraction   coral   analemma   castaway   coconut   fed ex   inanimate object in cast credits   ingenuity   kissing in the rain   mail carrier   sailing   self dentistry   spear fishing   stranded   suicidal thoughts   tropical island   cargo plane   cabin fever   thirst   raft   hunger   car accident   dog   death   hospital   fish tank   fish out of water   kicked in the face   loss of father   pregnancy   whale   cynicism   voice over narration   violence   shot in the forehead   rain   drunkenness   rescue   presumed dead   shot in the chest   survival   shooting   drugs   hallucination   pistol