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* AwardSnub: Sure, Creator/KathyBates deserves all the praise she received for playing the terrifying Annie Wilkes, but Creator/JamesCaan gives a brilliant performance too, and yet got no nominations.
* CryForTheDevil: In addition to the movie-only TearJerker moment described below, there are a couple of scenes late in the novel where one ''almost'' forgets, if only for a moment, what a terrifying and terrible person Annie Wilkes is. In one, protagonist Paul Sheldon himself laments WhatCouldHaveBeen for Annie if she were not so deeply mentally ill after she shows him an unexpected moment of kindness. In another, Annie has something of a VillainousBreakdown after the press gets wind of her latest doings and pays her a visit, and for readers who share her anxiety for crowds it's a disturbing moment of empathy with an otherwise wholly unsympathetic character.
* FridgeBrilliance: Paul eventually grows to consider ''Misery's Return'' the best book he's ever written. But of course it is! It's the only book he's ever ''literally written like his life depended on it''.
* FridgeHorror: When reading through Annie's "Memory Lane" book, Paul finds out that she was married and then divorced by her husband, with Annie's writing on the divorce page showing that she was ''pissed'' about it. There's no clipping about the ex-husband meeting a nasty death afterwards, so it seems like the poor guy got away okay. Except that much earlier on, Annie refers to herself as a "poor ''widow''" and her MO has been shown to evolve to hiding bodies after she kills them, making it possible that she ''did'' kill him but his remains were never discovered and Paul simply didn't connect the dots.[[note]]Though it's also possible that Annie just pretends her husband died instead of divorced her, and it bears noting that Annie's book contains obituaries for ''all'' her other victims.[[/note]]
* HarsherInHindsight:
** Paul is in the middle of an ongoing series when he gets in a serious car accident before finishing it. King nearly died in 1999 after being hit by a van while writing the ''Dark Tower'' series.
** In 1991, [[https://en.wikipedia.org/wiki/Beverley_Allitt Beverley Allitt]], an English nurse, committed four murders in a children's ward. The fact that she looks a bit like Annie makes it even scarier.
* HilariousInHindsight:
** Paul's ''Misery'' series is focused on a pretty but flighty young woman who is the focus of two guys who do all the cool stuff. The series is obscenely popular. Fans, but especially middle-aged women, adore it. Critics everywhere skewer it. [[Literature/{{Twilight}} Almost twenty years later...]] Even more hilarious what with Stephen's [[{{TakeThat}} reaction]] to said novels...
** Two decades after Kathy Bates played Annie, she appeared in ''Film/MidnightInParis'' as Gertrude Stein, and the protagonist desperately ''wanting'' her to read his writing and hear her opinion is a plot point.
* MoralEventHorizon: Annie was already a [[spoiler: serial killer]], but onscreen her [[spoiler: murder of the sheriff]].
* NauseaFuel:
** At one point Annie crushes a rat to death with her bare hand, poking her fingers into its body in the process. And then she licks her fingers. Paul wasn't the only one that felt ill.
** Annie forces Paul to wash down his Novril with dirty rinse-water as punishment after he makes her mad.
** Two words: "Special candle."
** Five words: "And now I must cauterize."
** Annie leaves Paul alone and locked in his room for over two days. Paul resorts to drinking his own urine because he's so thirsty.
* NoYay: Annie Wilkes and Paul Sheldon, especially in the book. She's an ex-nurse LoonyFan of the disillusioned writer who saved him from a car crash and slowly nurses him back to health. It's eventually revealed that Annie has killed several of her patients, and her mood constantly swings between cheerful and psychotic. It culminates with Annie [[spoiler:amputating Paul's leg.]]
--> '''Annie Wilkes:''' I'm your number one fan....
* TearJerker: The movie has a scene in which a depressed Annie opens up to Paul about her fear of him abandoning her. It's an unexpectedly humanizing moment for Annie, and both Creator/KathyBates and Creator/JamesCaan act it perfectly. Unfortunately, it quickly turns to NightmareFuel.
* TheWoobie: Paul. The whole story is basically about him stuck in ''Hell!''

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