He's best known for his cult films Tales From the Gimli Hospital, (1998) and Careful (1992). His short film The Heart of the World (2000) won a special award from the National Society of Film Critics and was voted one of the 10 best films of the year by J. Hoberman of The Village Voice and A.O. Scott of The New York Times. His new film The Saddest Music in The World stars Isabella Rossellini as a beer baroness in search of, aptly, the saddest music in the world. It also stars Mark McKinney, best known for his work with The Kids in the Hall. The film is a Depression-era musical, shot mostly in black and white.