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| Award (↓) | Year | Category | Nominee / Winner | Person |
|---|---|---|---|---|
| Writers Guild Award | 2006 | Best Writing in an Episodic Drama Series for Television | Nominee | Jennifer Salt |
| 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 | |
| TelevisionWeek's Critics Poll | 2008.01 | Best Television (#18) | Winner | |
| TelevisionWeek's Critics Poll | 2006.01 | Best Television (#15) | Winner | |
| TelevisionWeek's Critics Poll | 2005.01 | Best Television (#7) | Winner | |
| TelevisionWeek's Critics Poll | 2004.01 | Best Television (#5) | Winner | |
| TelevisionWeek's Best of 25 Years | 2007 | 25 Cable Shows That Stand Out | Winner | |
| Saturn Award | 2006 | Best Actor on Television | Nominee | Julian McMahon |
| Saturn Award | 2006 | Best Syndicated/Cable Television Series | Nominee | |
| Saturn Award | 2005 | Best Actor on Television | Nominee | Julian McMahon |
| Saturn Award | 2005 | Best Syndicated/Cable Television Series | Nominee | |
| Publicists Guild | 2005 | Maxwell Weinberg Publicists Showmanship Award for Television | Nominee | |
| PRISM Award | 2005 | Outstanding Television Drama Series Episode | Winner | |
| PRISM Award | 2005 | Outstanding Television Drama Series Episode | Winner | |
| PRISM Award | 2005 | Outstanding Television Drama Series Episode | Winner | |
| Online Television Academy Award | 2005 | Best Makeup and Hair in a Television Series | Winner | |
| Online Television Academy Award | 2004 | Best Official Television Website | Nominee | |
| NAACP Image Award | 2007 | Outstanding Supporting Actress in a Drama Series | Nominee | Sanaa Lathan |
| Mr. Skin's Anatomy Award | 2007 | Most Shocking Nudity | Winner | Rosie O'Donnell |
| Mr. Skin's Anatomy Award | 2007 | Best Plumber's Crack | Winner | Brooke Shields |
| MediaVillage TV Fan Award | 2006 | Outstanding Actress in a Drama Series | Nominee | Joely Richardson |
| Media Access Award | 2006 | Winner | ||
| Home Entertainment Award | 2005 | TV Series on DVD of the Year | Nominee | |
| 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 |
| Golden Tater Award | 2005 | Best Bitch (#5) | Voted | Ava Moore |
| Golden Tater Award | 2005 | Biggest Shocker (#5) | Voted | The Carver attacking Christian! |
| Golden Tater Award | 2005 | Best Guest Star (#4) | Voted | Famke Janssen |
| 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†|
| Golden Tater Award | 2004 | Favorite Drama Mama (#4) | Voted | Joely Richardson |
| Golden Tater Award | 2004 | Drama You Can't Live Without (#5) | Voted | |
| Golden Satellite Award | 2007 | Best DVD Release of a TV Show | Nominee | |
| Golden Satellite Award | 2006 | Best Actor in a Television Drama Series | Nominee | Dylan Walsh |
| Golden Satellite Award | 2006 | Best Actress in a Television Drama Series | Nominee | Joely Richardson |
| Golden Satellite Award | 2006 | Best Television Drama Series | Nominee | |
| Golden Satellite Award | 2005 | Best Actress in a Television Drama Series | Nominee | Joely Richardson |
| Golden Satellite Award | 2005 | Best Television Drama Series | Winner | |
| 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 |
| Golden Satellite Award | 2004 | Best Television Drama Series | Nominee | |
| Golden Laurel Award | 2005 | Norman Felton Producer of the Year for Episodic Drama Television | Nominee | |
| Golden Globe Award | 2005 | Outstanding Actor in a Television Drama Series | Nominee | Julian McMahon |
| Golden Globe Award | 2005 | Outstanding Actress in a Television Drama Series | Nominee | Joely Richardson |
| Golden Globe Award | 2005 | Outstanding Television Drama Series | Winner | |
| Golden Globe Award | 2004 | Outstanding Actress in a Television Drama Series | Nominee | Joely Richardson |
| Golden Globe Award | 2004 | Outstanding Television Drama Series | Nominee | |
| GLAAD Media Award | 2004 | Outstanding Television Drama Series | Nominee |
