789 Jacob's Ladder ( 1990 )

 English  director Adrian Lyne  made  this  well-regarded psychological horror film  which still  unsetles despite  the  frequent  plundering of its  ideas  in  subsequent movies. Tim Robbins plays  Jacob,  an  army  vet who  gets  a bayonet in the guts in Vietnam. On  his  return to civilian life in America, he  is plagued  by  disturbing  visions, flashbacks to the jungle, happy  memories and severe illness. The  viewer has  to  piece  together what is  real  and what is  hallucination  until a  very moving  scene with  son Gabe (McCauley Culkin)  finally lets  you in on the secret (well  most of it anyway ).

Elisabeth Pena ( as Jezebel )

Sex : Jezebel has sex with Jacob

Death : Survives (if she was real at all )

Elisabeth was born in New  Jersey to Cuban parents who were  involved in Latino theatre and  encoyuraged her  acting  ambitions. She made her film debut in a Spanish language film in 1979  but  first  came  to  attention in Down And Out In Beverley Hills in 1986.This  was probably  her  meatiest role in film; thereafter flitting between film and  TV  racking up an  impressive  filmography  despite a serious  alcohol problem. She  died of  cirrhosis of  the  liver in 2014  but  still  had  another four films in post-production.

Patricia Kalembert ( as Sarah) 

Sex : Sarah has sex with Jacob interrupted by Gabe

Death : Survives 

Sarah is a  dependable  actress from Connecticutt, active in film, TV and  the  theatre since the  early  eighties. In film she's remained a  supporting actress but has had big roles on TV like the titular character in Kay O Brien  and  Susannah Hart in thirtysomething.

S  Epatha  Morgan ( as Elsa )

Sex : No

Death : Survives

S  ( for  Sharon) has had a  respectable career as  a  character actress in film since 1986  but  has  made  her  real mark on TV  as Lt Van Buren in Law And  Order  , making nearly  400  appearances. She  has  also  excelled on the stage  being  nominated for a Tony Award . She  is  a  friend of Whoopi Gioldberg and directed her in  The Contradictions of Fair Hope.