James Stewart plays the role of Detective John 'Scottie' Ferguson, a retired police detective with a fear of heights who becomes entangled in a complex web of deception and obsession.
Kim Novak portrays the characters Madeleine Elster / Judy Barton, a mysterious woman who captures the attention of Scottie and leads him on a path of intrigue and emotional turmoil.
Barbara Bel Geddes takes on the role of Marjorie 'Midge' Wood, a close friend of Scottie's who harbors unrequited feelings for him and serves as a grounding presence in his tumultuous journey.
Tom Helmore plays Gavin Elster, a wealthy shipbuilder who enlists Scottie's help in a complex scheme involving his wife, Madeleine, setting off a series of events that unravel Scottie's psyche.
Henry Jones appears as the Coroner, a minor character in the film who provides crucial information regarding a mysterious death, adding to the intrigue surrounding Madeleine's identity.
Raymond Bailey portrays Scottie's Doctor, a medical professional who attends to Scottie's needs and offers advice as Scottie grapples with his psychological struggles.
Ellen Corby takes on the role of the Manager of the McKittrick Hotel, a brief but pivotal character who provides Scottie with a crucial clue in his investigation of Madeleine's past.
Konstantin Shayne appears as Pop Leibel, a character linked to Madeleine's past whose presence adds layers of mystery and intrigue to the unfolding narrative.
Lee Patrick plays the Car Owner Mistaken for Madeleine, a minor character whose brief encounter with Scottie leads to a case of mistaken identity, contributing to the film's themes of deception and perception.
Alfred Hitchcock makes an uncredited cameo as the Man Walking Past Elster's Office, a subtle appearance by the renowned director that adds a touch of Hitchcockian flair to the film.
David Ahdar appears as the Priest in an uncredited role, a background character who adds a sense of solemnity to certain scenes, reflecting the film's themes of guilt and redemption.
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