Patch Adams is a 1998 semi-biographical comedy-drama film starring Robin Williams, Monica Potter, Philip Seymour Hoffman and Bob Gunton. Directed by Tom Shadyac, it is based on the life story of Dr. Hunter "Patch" Adams and his book, Gesundheit: Good Health is a Laughing Matter, by Adams and Maureen Mylander. Despite being poorly received by critics and Adams himself, the film was a box office success.


A suicidal Hunter "Patch" Adams (Robin Williams) commits himself into a mental institution. Once there, he finds that using humor, as opposed to the indifferent sessions provided by their doctor, to help his fellow patients gives him a purpose in life. Because of this he wants to become a medical doctor and two years later enrolls at the Medical College of Virginia (now known as VCU School of Medicine) as the oldest first year student. He questions the school's soulless approach to medical care and clashes with the school's Dean Walcott (Bob Gunton), who believes that doctors must treat patients as patients and not bond with them as people. Because of this and incidents such as setting up a giant pair of legs during an obstetric conference, he is expelled from the medical school, although he is later reinstated due to his methods actually helping patients improve. Adams encourages medical students to work closely with nurses, learn interviewing skills early, and argues that death should be treated with dignity and sometimes even humor.

Adams begins a friendship with fellow student Carin Fisher (Monica Potter), and develops his idea for a medical clinic built around his philosophy of treating patients using humor and compassion. With the help of Arthur Mendelson (Harold Gould), a wealthy man who was a patient whom Patch met while in the mental hospital, he purchases 105 acres (425,000 m²) in West Virginia to construct the future Gesundheit! Institute. Together with Carin, medical student Truman Schiff (Daniel London), and some old friends, he renovates an old cottage into a clinic. When they get the clinic running, they treat patients without medical insurance and perform comedy sketches for them.

Carin and Patch's friendship soon turns into romance. When she tells him that she had been molested as a child, Patch comforts her and reassures her that she can overcome her pain to help others. Encouraged, Carin wants to help a disturbed patient, Lawrence "Larry" Silver (Douglas Roberts). However, Larry murders Carin then kills himself. Patch is devastated and guilt-ridden by Carin's death, and begins to question the goodness in humanity. Standing on a cliff, he contemplates suicide once again and questions God about what happened. He then sees a butterfly which reminds him of Carin's telling him earlier how she always wished she was a caterpillar that could someday transform itself and fly away. The butterfly lands on his medical bag and on his shirt before flying away. This reminds Patch of Carin and revives his spirits, and he decides to continue his work in her honor.

He is expelled from medical school a second time for running a clinic and practicing medicine without a license and because of complaints that he has made his patients uncomfortable (which is obviously not true). He files a grievance with the state medical board at the advice of his former medical school roommate, uptight Mitch Roman (Philip Seymour Hoffman). Patch is able to convince the board that he did his best to help the people that came to him, and as a doctor it is his responsibility to treat the spirit as well as the body. The board accepts Patch's methods and decides to allow him to graduate. He receives a standing ovation from the packed hearing room.

At graduation, Patch receives his diploma and bows to the professors and the audience, revealing that he is not wearing any pants under his gown.

Why It Sucks

  1. The film does not represent Dr. Adams properly (the film portrays him practicing medicine without a license and stealing from other hospitals, which the real Adams never did).
  2. Most of the elements in the film are made up (Carin Fisher is based on Adams' real life best friend, who was a man and who was not romantically involved with Adams at all).
  3. Stereotypical characters (the humorless professor).
  4. Typical Robin Williams formula (rebelling against conformity and giving a big emotional speech at the end). What makes it worse is that it's based on a real life person whose life is nothing like the film makes it out to be.
  5. Insensitive and unfunny gags.
  6. The other doctors besides Patch actually have good reasons for not liking Patch's ideas, like the job of being a doctor is to help people recover from injuries and illnesses by not getting too attached to patients because it hurts both the doctor and the patient's well-being when they die. Yet, Patch considers them soulless because of this and the film expects the audience to agree with him on all issues.
  7. The real Hunter Adams said that the profits from the film would go towards building his hospital, the Gesundheit! Institute, but he stated that none of the film's profits ever went towards the hospital at all. The film was a box office success, so there was absolutely no excuse at all for them to be stiffed.

Redeeming Qualities

  1. The soundtrack has good music.


  • Patch Adams was the final film that Gene Siskel deemed as his worst film before his subsequent death in 1999.
  • The Nostalgia Critic named it the eleventh worst film he has reviewed.


Patch Adams - Nostalgia Critic

Patch Adams - Nostalgia Critic

Nostalgia Critic's review

Nostalgia Critic Real Thoughts on - Patch Adams

Nostalgia Critic Real Thoughts on - Patch Adams

Nostalgia Critic's real thoughts on Patch Adams

Patch Adams - Theatrical Trailer 1998 (1080p)

Patch Adams - Theatrical Trailer 1998 (1080p)

Theatrical trailer

External links