Heather Graham gained over 10 pounds and wore foam padding underneath her dresses and clothing throughout the film to give her a slightly overweight appearance due to her character's obsession with cooking and eating. As a result, she is never seen fully undressed, especially during her lovemaking scenes.
Originally set to shoot in 2009 with Marisa Tomei and Liv Tyler headlining, under the title of "10A/10B". Tomei was going to portray the role of Carrie-Anne Moss and Tyler was going to portray the role of Heather Graham.
This is the second collaboration of Carrie-Anne Moss and Heather Graham after 1995 movie Terrified (1995).
Compulsion is the winner of the best picture award (Sanese D'Oro) and the Critics Special Mention at the 2013 Terra di Siena International Film Festival, Italy.
Early in the movie when Detective Reynolds goes in Saffron's condo with a flashlight, real-life pictures of Carrie-Anne Moss can be seen in frames. In one of the pictures the actress is seen with her mother Barbara Moss and in another one, dancing with her Models Inc. (1994) co-star Brian Gaskill. The latter was taken at a party thrown on behalf of the show in 1994.