Adaptation Displacement: Many who can quote the movie from end-to-end don't even realize there is a book. In the introduction to more recent printings of the book, William Goldman says flat-out that if you are picking it up for the first time, it's probably because you've seen the film.
Asspull: The holocaust cloak. It strains the limits of credulity as to why Miracle Max (played by 5'7", 130 lb. Billy Crystal) would have possession of a cloak big enough to fit Fezzik (played by 7'1", 500 lb. André the Giant).
Also the soundtrack, courtesy of Mark Knopfler. In the last sword fight, the timing of the music is perfect with the choreography, and the chords embody the dramatic tension and climax of the scene. This happens throughout the movie, but here it is most noticeable.
Cult Classic: Only made $30.8 million on a $16 million budget, but has become so popular that it borders on being an outright (non-cult) classic.
It's also become something of a rite of passage for young geeks and nerds to see the film, so very geek-heavy cultures tend to know all the best lines from the work. It's gotten to the point where some LARP groups have a rule against making quotes from the work, because once one person starts, everyone quotes it.
Girl Show Ghetto: To compensate for the feminine-sounding title, some DVDs have a cover that puts the Dread Pirate Roberts in the front and center and emphasizes action in the synopsis.
Then again, some DVDs have Buttercup with a crown on the cover, with a very pink box, playing this trope perfectly straight.
The old lady. Boooo! And if you can believe it, that was the tamest of Buttercup's nightmares in the book!
The Shrieking Eels from the film. They were sharks only mentioned in passing in the book, but in the film we get to see and hear them. To make matters worse, we hear them more than we see them. And according to Vizzini, their shrieks "always grow louder when they're about to feed on human flesh".
The Fire Swamp, which is basically a miniature Death World.
One-Scene Wonder: Billy Crystal and Carol Kane in the Miracle Max scene; Peter Cook's impressive clergyman; Mel Smith's Albino.
Parodied in the book, with an explanation that a scene with Fezzik and Inigo going on minor quests to save Westley was 'cut' because it seemed like a ripoff of The Wonderful Wizard of Oz, even though the 'original version' came out first.
Vizzini saying "All aboard!". The book notes that this was before trains, but the saying actually comes from carpenters loading lumber, and this was well after carpenters.
Special Effect Failure: When the heroes leave on the four white horses, it is quite clear that Fezzik has a body double. Necessary, though, in that there isn't likely a horse in the world that could carry Andre the Giant's mass.
The dummy in the holocaust cloak in the far shots of the "Dread Pirate Roberts" is particularly bad.
The Woobie: Fezzik. Not so much in the movie, but after learning that in the book his parents forced him into wrestling at the age of nine and threatened to leave him forever if he wouldn't fight, you start to feel sorry for him.
Similarly, Inigo. He grew up dirt-poor, and only had his father. Then, a nobleman kills his father for taking offense when the nobleman refuses to pay more than a tenth of the agreed-upon price for the sword he commissioned. Not only that, but in the book, plenty of villagers knew the nobleman murdered Domingo Montoya. They all just let him leave though, because there was no way they could convict him of his crime.