C. Thomas Howell

In 2003 he was hospitalized for 4 weeks because of a ruptured appendix, a very serious illness, fatal if not treated on time.

He lost 45 pounds and surgeons had to take out 3 feet of his intestine among other things in order to save his life. That's the real reason behind his gaunt look in all his movies between 2003 and 2005.

[2013, on Hitcher II (2003)] That was probably a mistake, to be honest. It was mishandled. There was a time when Rutger was involved as well, so I sort of committed with the understanding that that was what was taking place, but then that didn't happen. It was a bit of a mess. The whole thing was just a real mess, and there was nothing I could do at that point. It probably should've never been made. And thankfully, nobody really even knows it exists. I don't even really call it a sequel. It's not really a sequel. It's almost a completely different movie, really.