Academy Awards
- Best Foreign Language Film (won)
BAFTA Awards
- Best Film Not in the English Language (won)
- Best Direction (Almodóvar, won)
- Best Screenplay – Original (Almodóvar, nominated – lost to Being John Malkovich, Charlie Kaufman)
Golden Globe Awards
- Best Foreign Language Film (won)
Goya Awards
- Best Actress (Roth, won)
- Best Cinematography (nominated – lost to Goya in Bordeaux)
- Best Costume Design (nominated – lost to Goya in Bordeaux)
- Best Director (Almodóvar, won)
- Best Editing (won)
- Best Film (won)
- Best Makeup and Hairstyles (nominated – lost to Goya in Bordeaux)
- Best Original Score (Iglesias, won)
- Best Production Design (nominated – lost to Goya in Bordeaux)
- Best Sound (won)
- Best Supporting Actress (Peña, nominee – María Galiana, Alone)
- Best Screenplay – Original (Almodóvar, nominee – lost to Alone, Benito Zambrano)
- Other awards
- Boston Society of Film Critics Award for Best Foreign Language Film (winner)
- British Independent Film Award for Best Foreign Language Film (winner)
- Butaca Award for Best Catalan Film Actress (Candela Peña, winner)
- Cannes Film Festival Best Director Award (winner)
- Cannes Film Festival Prize of the Ecumenical Jury (Pedro Almodóvar, winner)
- Chicago Film Critics Association Award for Best Foreign Language Film (winner)
- César Award for Best Foreign Film (winner)
- David di Donatello for Best Foreign Film (winner)
- Jameson People's Choice Award for Best European Director (winner)
- European Film Award for Best European Film (winner)
- European Film Award for Best European Actress (Cecilia Roth, winner)
- GLAAD Media Award for Outstanding Film in Limited Release (nominee)
- Independent Spirit Award for Best Foreign Language Film (nominee)
- London Film Critics Circle Award for Foreign Language Film of the Year (winner)
- Los Angeles Film Critics Association Award for Best Foreign Language Film (winner)
- National Board of Review Award for Best Foreign Language Film (winner)
- New York Film Critics Circle Award for Best Foreign Language Film (winner)
- Premios ACE Award for Best Film (winner)
- Premios ACE Award for Best Actress – Cinema (Cecilia Roth, winner)
- Premios ACE Award for Best Supporting Actor – Cinema (Fernando Fernán Gómez, winner)
- Premios ACE Award for Best Supporting Actress – Cinema (Marisa Paredes, winner)
- Satellite Award for Best Foreign Language Film (winner; tied with Three Seasons)