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| Award | Year (↑) | Category | Nominee / Winner | Person |
|---|---|---|---|---|
| TV Guide's Best/Worst of the Year | 2003 | Top Ten TV Shows of the Year (#3) | Winner | |
| Time Magazine's Best/Worst List | 2003 | Top Ten Best Television Shows (#6) | Winner | |
| American Film Institute Award | 2003 | Television Program of the Year | Winner | |
| Cadet Award | 2004 | Outstanding Lead Actress in a Drama Series | Nominee | Joely Richardson |
| Emmy Award | 2004 | Outstanding Makeup (Prosthetic) for a Series, Miniseries, Movie or a Special | Winner | James MacKinnon; Thomas R. Burmna; Bari Dreiband-Burman |
| Emmy Award | 2004 | Outstanding Makeup (Non-Prosthetic) for a Series | Nominee | Eyrn Krueger; Stephanie Fowler; Thomas R. Burman; Bari Dreiband-Burman |
| Golden Globe Award | 2004 | Outstanding Actress in a Television Drama Series | Nominee | Joely Richardson |
| Golden Globe Award | 2004 | Outstanding Television Drama Series | Nominee | |
| Artios Award | 2004 | Best Casting for a Dramatic Pilot | Nominee | Robert J. Ulrich; Eric Dawson; Carol Kritzer |
| futoncritic's Best Eps | 2004 | 50 Best Eps of 2003 (#17) | Winner | |
| Cadet Award | 2004 | Outstanding Debut Drama Series | Nominee | |
| futoncritic's Best Eps | 2004 | 50 Best Eps of 2003 (#12) | Winner | |
| Artios Award | 2004 | Best Casting for an Episodic Drama Series | Nominee | Robert J. Ulrich; Eric Dawson; Carol Kritzer |
| Cult TV Award | 2004 | Best New Satellite Series | Nominee | |
| Amy Award | 2004 | Did I Have a Life Before This Show | Nominee | |
| Golden Tater Award | 2004 | Best Love Triangle (#1) | Voted | Julia, Sean & Christian |
| Golden Tater Award | 2004 | Biggest Shocker (#3) | Voted | Christian's mixed-race “son†|
| Hollywood Makeup Artist & Hair Stylist Guild Award | 2004 | Best Special Makeup Effects in a Television Series | Nominee | Erin Kreuger, Thomas Burman, Bari Burman |
| Hollywood Makeup Artist & Hair Stylist Guild Award | 2004 | Best Special Makeup Effects in a Television Series | Winner | James McKinnon, Thomas Burman, Bari Burman |
| Hollywood Makeup Artist & Hair Stylist Guild Award | 2004 | Best Contemporary Makeup in a Television Series | Nominee | Erin Krueger, Stephanie Fowler |
| Cadet Award | 2004 | Outstanding Main Titles Sequence | Nominee | |
| GLAAD Media Award | 2004 | Outstanding Television Drama Series | Nominee | |
| Golden Tater Award | 2004 | Favorite Drama Mama (#4) | Voted | Joely Richardson |
| Emmy Award | 2004 | Outstanding Directing for a Drama Series | Nominee | Ryan Murphy |
| Golden Tater Award | 2004 | Drama You Can't Live Without (#5) | Voted | |
| Cadet Award | 2004 | Outstanding Makeup/Hairstyling | Nominee | |
| about.com Primetime TV Awards | 2004 | Best Actor in a Drama Series | Nominee | Julian McMahon |
| about.com Primetime TV Awards | 2004 | Best Supporting Actress in a Drama Series | Nominee | Joely Richardson |
| Golden Satellite Award | 2004 | Best Actor in a Television Drama Series | Nominee | Julian McMahon |
| Golden Satellite Award | 2004 | Best Actress in a Television Drama Series | Nominee | Joely Richardson |
| Online Television Academy Award | 2004 | Best Official Television Website | Nominee | |
| about.com Primetime TV Awards | 2004 | The Freshman Award | Nominee | |
| American Film Institute Award | 2004 | Television Program of the Year | Winner | |
| Golden Satellite Award | 2004 | Best Television Drama Series | Nominee | |
| Emmy Award | 2004 | Outstanding Main Title Design | Nominee | Paul Matthaeus; Vince Haycock; Eric Anderson; Matt Lavoy |
| Cadet Award | 2004 | Outstanding Lead Actor in a Drama Series | Nominee | Julian McMahon |
| Emmy Award | 2004 | Outstanding Main Title Theme Music | Nominee | Gregory Slay; Jeffrey Cain; Cedric Lemoyne |
| TelevisionWeek's Critics Poll | 2004.01 | Best Television (#5) | Winner | |
| Artios Award | 2005 | Best Casting for an Episodic Drama Series | Winner | Robert J. Ulrich; Eric Dawson; Carol Kritzer |
| Emmy Award | 2005 | Outstanding Makeup (Non-Prosthetic) for a Series | Nominee | Eryn Krueger; Stephanie Fowler |
| Golden Satellite Award | 2005 | Best Actress in a Television Drama Series | Nominee | Joely Richardson |
| BMI TV Music Award | 2005 | Winner | James Levine | |
| Golden Satellite Award | 2005 | Best Television Drama Series | Winner | |
| Home Entertainment Award | 2005 | TV Series on DVD of the Year | Nominee | |
| Emmy Award | 2005 | Outstanding Casting for a Drama Series | Nominee | Eric Dawson |
| Golden Tater Award | 2005 | Best Bitch (#5) | Voted | Ava Moore |
| Golden Laurel Award | 2005 | Norman Felton Producer of the Year for Episodic Drama Television | Nominee | |
| futoncritic's Best Eps | 2005 | 50 Best Eps of 2004 (#11) | Winner | |
| Online Television Academy Award | 2005 | Best Makeup and Hair in a Television Series | Winner | |
| Costume Designers Guild Award | 2005 | Excellence in Contemporary Design for Television | Nominee | Lou Eyrich |
