- Is a triathlete.
- Originally turned down the role of "Amanda Young" in Saw (2004) because it was upsetting her. She was offered the role a second time and accepted after seeing the original short film by James Wan and Leigh Whannell.
- Hates horror films and has repeatedly admitted to being scared of her own movies.
- She was writer/director James Wan's first choice to play the role of Amanda in the film Saw (2004). He was motivated by a crush he had on her since the age of 14. Fellow Saw alums Darren Lynn Bousman and Leigh Whannell have also made their crushes known during the DVD commentaries.
- She still gets recognized by fans as Meg Penny from The Blob (1988) and loves it.
- Was pregnant with her daughter, Verve, throughout the first season of Becker (1998).
- Was 4 months pregnant with her son Jakson during the filming of Saw II (2005).
- Appeared in two films directed by Michael Bay, Armageddon (1998) and The Island (2005), in both of which she acts in only one scene, alongside Steve Buscemi as his love interest.
- Formed her punk-rock band "Fydolla Ho" with Metallica bassist Robert Trujillo and Skindred vocalist Benji Webbe as a small recording project. The band went on to release a full album, along with two EPs, and tour the United States and United Kingdom before officially splitting in 2004.
- She is part of a desert-country rock band, called "Smith and Pyle", with actress Missi Pyle. They digitally released their debut album, It's OK to be Happy, in July 2008. The band plays shows consistently in California along with performing at conventions for fans. The band disbanded in 2011.
- Smith has three children; a daughter named Verve, born in 1999, from her marriage to photographer Jason Reposar and a son named Jakson, born on December 12, 2005, from her brief marriage to musician Kai Mattoon. She gave birth to her third child, a boy, in March 2010.
- Her conversion to Eastern Orthodoxy in 2012 was the inspiration behind her directorial debut documentary, Orthodox: A Love Story.
- Can claim "military brat-hood" thanks to her father Jim, an Air Force officer. At the age of 16 she played an Air Force brat in the film Iron Eagle (1986).
- She was nominated for a Spike TV Scream Award in the "Most Vile Villain" category alongside her Saw IV (2007) costar Tobin Bell in 2007.
- Attended the Texas Frightmare Weekend convention in Dallas, TX as part of the Saw (2004) panel alongside Cary Elwes and Costas Mandylor. (April 2011)
- She is of English, German, Swiss-German, and Scots-Irish (Northern Irish) ancestry.
- Good friends with Tammy Lauren, with whom she co-starred in the movies, Crime of Innocence (1985) and I Saw What You Did (1988).
- Writing and recording new songs with Missi Pyle at Rancho de la Luna in preparation for the second Smith & Pyle album. (April 2010)
- Performing at "The Mint" in Los Angeles, CA alongside Missi Pyle and their band, "Smith and Pyle". (November 2009)
- Daughter and second child of James H. Smith, financial planner and former United States of America Air Force pilot, and wife Patricia Ann Smoak, Oncology nurse.
- Has shared the screen with actor Barry Flatman twice; in the television movie Easy Prey (1986) and in Saw III (2006).
- She is a registered Republican, and endorse Mitt Romney for the 2012 presidential election.
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