Reportedly, Haley Joel Osment got the role of Cole Sear for one of three reasons. First, he was best for it. Second, he was the only boy at auditions who wore a tie. Third, director M. Night Shyamalan was surprised when he asked Haley Joel Osment if he read his part. Osment replied, "I read it three times last night." Shyamalan was impressed, saying, "Wow, you read your part three times?" To which Osment replied, "No, I read the script three times."

Toni Collette has said that she was so moved by the emotional resonance of the story while filming, she did not even realize it was a horror film until after its release.

While in New York City auditioning for Bringing Out the Dead (1999), Toni Collette also auditioned for this film as an afterthought. She said the scene in the car toward the end of the film, which was the audition scene, was the scene that really drew her to the film.

The movie's line, "I see dead people," was voted as the #100 of "The 100 Greatest Movie Lines" by Premiere magazine in 2007.

According to director M. Night Shyamalan, Donnie Wahlberg lost 43 pounds for the role of Vincent Grey.

Filmed in sequence.

M. Night Shyamalan wrote the role of Malcolm Crowe with Bruce Willis in mind.

The movie was rented by 80 million people in 2000, making it the year's top-rated VHS and DVD title.

The film was a sleeper hit. In Entertainment Weekly's 134 film Summer Movie Preview of 1999, The Sixth Sense (1999) was not even mentioned on the list.

A lot of the members of M. Night Shyamalan's family are doctors. This is the reason why he cameos as a doctor, as a tribute to his family.

The voice on the tape of Vincent's session is speaking Spanish; the person is saying, "Please, I don't want to die Lord, save me, save me."

On the Vista Series DVD, if the Main Menu is left idle long enough, a discordant note will play as a ghost walks past the breakfast table on the screen.

Cole and Vincent both have a patch of grey/white hair, both on the right side of their heads. Vincent's is to the side and Cole's is behind the ear.

The movie's line, "I see dead people," was voted as the #44 movie quote by the American Film Institute (out of 100).

In M. Night Shyamalan's early drafts of the script, the Bruce Willis character was a crime scene photographer, not a child psychologist.

This was the first of two movies that Bruce Willis owed Disney, after he caused another production, "The Broadway Brawler," to be shut down, due to him firing the director. He also was paid ten million dollars, half of his usual salary at the time.

In 2007, the American Film Institute ranked this as the #89 Greatest Movie of All Time. This was one of the newest entries on the list (from films which were released between 1997 and 2005).

The use of the color red to indicate the presence of evil or a ghost also appears in M. Night Shyamalan's other movie, The Village (2004). And many of his films since.

The Latin phrase Cole speaks in the church when he first meets Malcolm, "De profundis clamo ad te domine," translates to "Out of the depths, I cry to you, O Lord." These are the first few words of Psalm 130 in the Book of Psalms.

M. Night Shyamalan pitched the film as a cross between The Exorcist (1973) and Ordinary People (1980).

The screenplay was sold on the first day it was put up for sale by producer Barry Mendel.

When Cole and his mother are sitting in the kitchen, there is a glass on the table that can only be bought in Philadelphia. It originally comes filled with Penn Maid sour cream, which is not readily available anywhere else.

According to Michael Cera, this was the first film that he ever auditioned for. He read for the part of Cole, but the role ultimately went to Haley Joel Osment.

The film opened on M. Night Shyamalan's birthday.

When Cole's mother is watching him at the windows when he goes to school with Tommy, a prominent figure "6" can be seen on the curtain to the left of her hand.

Included among the "1001 Movies You Must See Before You Die," edited by Steven Schneider.

The only film that year to be nominated for Best Supporting Actor and Best Supporting Actress Oscars.

As of 2018, features Toni Collette and Haley Joel Osment's only Oscar nominated performances.

When Malcolm is listening to the tape recording of Vincent and his session, as he turns up the volume the numbers on the tape player turn from white to red as they increase.

At the beginning of the movie, Anna tells Malcolm that he sounds like Dr. Seuss. Like Malcolm, Dr. Seuss dedicated his life to children, while never having any of his own.

Although Cole is supposed to be nine years old, Haley Joel Osment was actually 11.

Donnie Walhberg plays a character in this movie named 'Vincent Grey'. In 1998, just one year prior, he played a character named 'Mr. Grey' in the TV movie "The Taking of Pelham 123". In the 2003 movie "Dreamcatcher" he played a character named 'Duddits' who defeats and kills an alien antagonist named 'Mr Grey'.

Toni Collette was the only Best Supporting Actress Oscar nominee that year that was from a Best Picture nominated film.

Haley Joel Osment was 9 years old at time of filming and Toni Collette (who plays Cole's mother) was 26, so she would have been 17 when she gave birth to Cole.

First film to feature the new logos of the Philadelphia Eagles and 76ers, starting in 1996 and 1997, respectively.

The novelization for Young Sherlock Holmes (1985) uses the line "sixth sense"; Frank Marshall produced both movies and Steven Spielberg later directed Haley Joel Osment in A.I. Artificial Intelligence (2001) as well as produced Holmes.

M. Night Shyamalan: Dr. Hill, who examines Cole Sear after the "accident" at the birthday party.

M. Night Shyamalan: [car accident] Cole tells his mother about his abilities while they're stuck in traffic because of a car accident.

M. Night Shyamalan: [twist ending]

M. Night Shyamalan: [Philadelphia, PA] The film takes place in Philadelphia.

M. Night Shyamalan: [Home Invasion] Vincent's entering Crowe's apartment at the beginning.

In the scene when Cole says the famous line, "I see dead people," the camera does a closeup on Bruce Willis's face. Producer Frank Marshall was worried that might have given the game away. It implied that Malcolm was a dead person. Fortunately, none of the audiences in the test screenings or afterwards picked up on it.

According to M. Night Shyamalan, the movie was inspired by an episode of Are You Afraid of the Dark? (1990) called Are You Afraid of the Dark?: The Tale of the Dream Girl (1994), directed by David Winning, in which leading characters are ignored by somebody and do not realize that they are dead until the final moment. In The Tale of the Dream Girl, a brother discovers that only his sister can see him and she ultimately shows him his own obituary.

Throughout the film, Malcolm's wardrobe consists of only slight variations of the clothes he was wearing the night that he died.

When Cole and Malcolm are entering Kyra's bedroom at her wake, Malcolm is standing directly behind Cole; however, when the camera cuts to the shadows on the floor as the door opens, we only see Cole's shadow. Another clue that Malcolm is actually dead. Also, on the doorknob, we can see the reflection of Cole's face but not Malcolm's face (although we probably can see his body).

While circling a passage in the notes, Bruce Willis does so with his right hand. Willis is actually left-handed; he learned how to write right-handed so that viewers wouldn't notice that his wedding band was no longer on his hand. Willis also draws the circle clockwise (like a left-handed person would), while most right-handed people would draw it counter-clockwise.

Throughout the movie, Malcolm never moves any objects (except the Latin dictionary and uses tape recorder), and he does not interact with anyone but Cole. For example, he never opens a door, the chair he sits in, in the restaurant with his wife, is already pulled out, and when he reaches for the check, his wife just beats him to it.

M. Night Shyamalan deliberately used the color red to depict when the world of the living and the world of the dead would cross over. If red was in a scene where that was not the case, he would change it. The door to the church where Cole and Malcolm first interact is red, and the statue Cole takes from the church has a red robe. The doorknob to Malcolm's basement is red. Cole's school uniform jacket is reddish (maroon); he is often approached by the dead people while at school and/or wearing his uniform. Anna wears a red dress at the restaurant where Malcolm is "late" for their anniversary. When Malcolm is watching his wife Anna in the shower and notices her prescription in the cabinet, it is in a reddish-brown container. Lynn Sear's nail polish is red when she is pointing out the white spots (ghosts) on all the pictures of Cole in the hallway. Cole's "free association" writing is in red ink; the writing presumably records things he has heard from the dead. At the birthday party, all the visible balloons are pastel-colored, except for the red balloon that floats up the stairway and leads Cole to the small closet. Cole is wearing a red sweater when he is attacked by the spirit in the closet. Cole's blanket at the hospital is reddish (pink) when he confesses to Malcolm that he sees dead people. The birthday gift Anna gives to Sean is in a red box, and she is wearing red when the two of them embrace and Malcolm breaks the shop door. When Malcolm listens to a taped session with Vincent, as he turns up the cassette recorder volume, the control numbers go from white to red. Kyra Collins appears in Cole's fort, and the blanket covering it is red. The box containing Kyra's VHS tape is trimmed in red and has a red-lined interior. The outfit worn by Mrs. Collins at Kyra's wake is bright red, and she is the only person wearing a bright color. In the video, the soup Mrs. Collins brings to Kyra is tomato soup, and the bottle of pine cleaner Mrs. Collins adds to the soup has a red cap on it. The bicyclist Cole sees next to the car is wearing a red helmet. The blanket that Anna Crowe covers herself with while watching the wedding video is red.

The soundtrack release of the movie gives away the ending. The final song on the CD is titled "Malcolm is Dead."

Though the movie is set in Philadelphia, the house in which the scene where Cole(Haley Joel Osment) is locked in a closet with the psychotic ghost is actually located in Pasadena, California. It has been seen in many other movies from the outside.

During the anniversary dinner scene in the restaurant, when Malcolm reaches for the bill, you can hear a subtle, but distinct, ghostly "whooshing" noise just as he's intercepted by his wife grabbing the bill, foreshadowing what will later be revealed.

The school play Malcolm watches is about the legend of King Arthur and Excalibur, which Cole plays Arthur. In the Arthurian legend, Arthur became the British King when he drew the sword Excalibur from the stone and the wizard Merlin guided and advised Arthur and helped him to become the Great King he was. In a certain way, Malcolm is like the Merlin figure and he helps Cole with his secret. Now that Cole has drawn the sword and listened to Kyra Collins and helped expose the truth behind her death and gave Malcolm advice about his wife and Malcolm and Cole saying goodbye after the school play. Cole can now open up and reveal to his mother his secret.

In Twelve Monkeys (1995), Bruce Willis's character, James Cole, says "All I see are dead people.", which echoes the words said by Haley Joel Osment's character, Cole Sears' statement, "I see dead people." in The Sixth Sense (1999). Both movies are set in Philadelphia.

The mother who is revealed to have poisoned and ultimately killed her otherwise-healthy daughter is suffering from a mental illness called "Munchausen syndrome by proxy," in which a parent or other caregiver fakes a the illness of a child or other patient to benefit from the societal prestige of being a selfless and dedicated caregiver to a critically ill person. While this is a real mental condition, it is arguably much more represented as a plot contrivance in fiction than in real life. Munchausen syndrome by proxy has been a popular plot twist on many TV shows, including The X-Files, ER, Body of Proof, The Practice, House, Law & Order, Law & Order: SVU, Criminal Minds, JAG, Elementary, and Supernatural; in the novels It and Misery (both by Stephen King), The Body Farm by Patricia Cornwell, and in both the novel Sharp Objects by Gillian Flynn and its miniseries adaptation.

The surnames of the main characters are subtle hints to their fates. Cole Sear (pronounced see-er) is able to see things ordinary people cannot. Malcolm's last name, Crowe, suggests crows--a bird often associated with death.