Leigh's last screen appearance in "Ship of Fools" was both a triumph and emblematic of her illnesses that were taking root. Producer and director Stanley Kramer, who ended up with the film, planned to star Leigh but was initially unaware of her fragile mental and physical state. Later recounting her work, Kramer remembered her courage in taking on the difficult role, "She was ill, and the courage to go ahead, the courage to make the film—was almost unbelievable." Leigh's performance was tinged by paranoia and resulted in outbursts that marred her relationship with other actors, although both Simone Signoret and Lee Marvin were sympathetic and understanding. In one unusual instance during the attempted rape scene, Leigh became distraught and hit Marvin so hard with a spiked shoe that it marked his face. Leigh won the "L'Étoile de Cristal" for her performance in a leading role in "Ship of Fools".