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In the film, Jessie (Carla Gugino) states that Moonlight Man suffers from a disorder called acromegaly which causes enlargement of the hands and feet, as well as his forehead and chin. That is also why he is so tall. Carel Struycken, who portrays the Moonlight Man, does actually have this disorder. When Jessie is walking down the hall towards the Moonlight Man, there is a shot of a rook’s skull hanging from his neck. This is a reference to Cuthbert in the “Dark Tower” series. He was known for ha