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