any other movies like this?

They're not anime, but check out

Being John Malkovich
Memento
The Prestige
Fight Club
Jacob's Ladder
Donnie Darko

And the Cowboy Bebop movie is debatable to be psychlogical at times, but you gotta see it to know what I'm talking about.

Other animes are

Paranoia Agent (A t.v. series that's basically Perfect Blue with 13 different characters)
Paprika (Dreams.. nuff said)
Mind Game (Just crazy.... see it).

They're not as good as Perfect Blue, but they're up there.


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http://www.purevolume.com/tylerh

Regarding the original poster, I too have been dying to find anime movies like this one and have consistently been disappointed. I guess this film is unique and there's none else like this, as yet. I found Ghost In The Shell to be somewhat similar in style, but it has too much philosophical mumbo-jumbo.

Other than this: Satoshi Kon's two other movies (Paprika and Millenium Actress) have a similar surreal style; however they are made in a lighter vein and are not as dark and mysterious as this one.

I'd love to hear of more suggestions, particularly those of anime films.

If you liked the thought provoking aspect of Perfect Blue I'd highly recommend Paranoia Agent (also directed by Satoshi Kon) and Serial Experiments Lain. Both are anime tv shows which are likely to keep you thinking after you've reached the end!

Paranoia Agent is better than this, Satoshi has taken many of the same themes and rehashed them several times, this was his debut and suffers from some discrepancies, Paranoia Agent is flawless and powerful, it's also an original work. This was based on a novel and while he changed some things, he was forced to keep much of the story intact. The events are therefore a bit confusing, rather than divine. I have only seen a tiny bit of Paprika, and haven't seen Millennium Actress, but I think he has completely mastered the surreal mix of the meta-physical mind with the real world.

For other great Anime movies, check out the following:
-Anything by Hayao Miyazaki. Seriously, the man is a wizard of the imagination. A couple of his films i'd suggest above others would be Princess Mononoke, Spirited Away and My Neighbor Totoro. *These are the english titles.
-The afforementioned Paranoia Agent and subsequent Kon fare(though I haven't seen them); Millennium Actress and Paprika.
-The anime series Gantz
-The anime mini-series FLCL
-Akira, for gods sake. ><
-Any of the numerous Shonen Jump anime, which include but are not limited to: Bleach, Yu Yu Hakusho, Full Metal Alchemist.. and many more.
-Cowboy Bebop. It's widely considered to be one of the greatest animes out there

I've got a few other faves but I'll leave this at that.

"So say we all."

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An amazon.com review listed Hitchcock's Vertigo as presenting a similar case of a main character's distortion of reality. There is also Polanski's Repulsion.