Matt Dillon Awards

Black Reel Awards
2006  - Black Reel - Best Ensemble for Crash (2004/I)

Blockbuster Entertainment Awards
1999  - Blockbuster Entertainment Award - Favorite Supporting Actor - Comedy for There's Something About Mary (1998)

Cairo International Film Festival
2007  - Special Award     

Dallas-Fort Worth Film Critics Association Awards
2005  - DFWFCA Award - Best Supporting Actor for Crash (2004/I)

Gotham Awards
2005 - Tribute Award     

Independent Spirit Awards
2006  - Independent Spirit Award - Best Supporting Male for Crash (2004/I)
 
1990  - Independent Spirit Award - Best Male Lead for Drugstore Cowboy (1989)

Las Vegas Film Critics Society Awards
2005  - Sierra Award - Best Supporting Actor for Crash (2004/I)
 
MTV Movie Awards
1999  - MTV Movie Award - Best Villain for There's Something About Mary (1998) Tied with Stephen Dorff for Blade (1998).

San Sebastián International Film Festival
2006 - Donostia Lifetime Achievement Award     

Screen Actors Guild Awards
2006  - Actor - Outstanding Performance by a Cast in a Motion Picture for Crash (2004/I)

Teen Choice Awards
1999  - Teen Choice Award - Film - Funniest Scene for There's Something About Mary (1998) Pat sedates and then resuscitates Mary's dog.