Sprinkle has appeared in almost 200 films, including hard- and softcore pornography, B movies, loops, and numerous documentaries. She starred in Nick Zedd's experimental films "War Is Menstrual Envy" (1992), "Ecstasy in Entropy" (1999), and "Electra Elf: The Beginning" (2005). She also appeared in various television shows including four HBO "Real Sex" programs. She has also produced, directed, and starred in several of her own films, such as "Annie Sprinkle's Herstory of Porn", "Annie Sprinkle's Amazing World of Orgasm", and "Linda/Les & Annie—The First Female to Male Transsexual Love Story". These films played in hundreds of film festivals, in museums and galleries. Her work in adult films earned her a spot on the Adult Star Path of Fame in Edison, New Jersey, and she was inducted to both the AVN Hall of Fame and the XRCO Hall of Fame in 1999. For three decades, she has presented her work as a visiting artist at many major universities and colleges in the US and Europe.