- After initial test audiences reported that the film was overwhelming, director Adrian Lyne cut out twenty minutes of material, almost all of which came from the last third of the film. Four major sequences were removed after Jacob first meets Michael; a scene where Michael gives him an antidote for the Ladder, a scene where Jacob thinks he is cured but turns out not to be; a scene where he goes to Michael's apartment and finds Michael decapitated; and a scene just prior to his final meeting with Gabe, where he meets Jezzie, who shows her true form.
- Showtime Networks' The Movie Channel in the United States broadcast a version with the director's cuts included in March 1993.
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