'A Different Man' Star Adam Pearson Says His Facial Disfigurement 'Opened Doors' (Exclusive)

Mar. 15, 2025

Adam Pearson.Photo:David Reiss

David Reiss

WhenAdam Pearsonvisits a new town or city, he knows the obvious can’t be ignored.

He anticipates the stares and curiosity — and, at times, the cruelty — when people first see his face, covered with tumors due toneurofibromatosis.

Pearson’s approach is to confront it boldly. “You go in and go for it,” the 39-year-old actor tells PEOPLE in this week’s issue. “Like, ‘Hi, my name’s Adam. I’m new here. We’re going to be friends.’ ”

Adam Pearson photographed in 2024.David Reiss

That confident charm inspired director Aaron Schimberg to writeA Different Man, a dark comedy opening Sept. 20 that stars Pearson andSebastian Stan, who praises his costar’s “charisma and bravery.”

Pearson previously appeared in the 2014 thrillerUnder the SkinwithScarlett Johansson, as well as in Schimberg’s 2019 filmChained for Life.InA Different Man, he plays Oswald, a rakish hero whose facial disfigurement is a mere footnote to his magnetism.

Adam Pearson with Sebastian Stan and Renate Reinsve in ‘A Different Man’.A24

A24

“I wrote the part of Oswald to show off Adam’s range as an actor, and as a sort of tribute to his personality,” says Schimberg. “I have a cleft palate, and that’s shaped my perception of myself. But Adam, whose disability is even more visible, doesn’t let that define him. I was in awe of that.”

In Pearson’s hometown of Croydon, just south of London, his is known for his numerous appearances in British documentaries and on reality shows — and his occasional gigs DJing at his local pub, Riff Raffs.

“I’m liked, and luckily people seem to get on board with what I do,” saysPearson, who has jokingly referred to himself as “God’s favorite disabled guy.” He adds of the outlandish claim, “I think I can prove it!”

But cheeky optimism wasn’t easy to muster growing up in Croydon with his twin brother, Neil. As babies, the brothers were nearly indistinguishable.

Adam Pearson (right) ca. 1986 with his twin brother Neil.Courtesy Adam Pearson

Courtesy Adam Pearson

But when Pearson was 5, he bumped his head in his bedroom, and the bump never healed. After trips to specialist after specialist, he was diagnosed with neurofibromatosis type 1, an incurable neurogenetic disorder that can cause tumors.

By the time Pearson was 8, the tumors had progressed, and his face was noticeably disfigured.

Adam Pearson as a schoolboy.Courtesy Adam Pearson

His brother, meanwhile, was also diagnosed with NF1 but showed no outward signs of the disorder.

Despite his situation, Pearson, who’s undergone 39 surgeries to remove excess tumors (“It slowly grows back, so it’s a constant cycle”), doesn’t recall feeling sorry for himself. “You can get bogged down in, ‘It’s not fair. Why is life so cruel?’ It doesn’t solve anything,” says Pearson, who’s lost all vision in one eye as a result of the tumors.

Identical twins Neil Pearson and Adam Pearson in 2016.Courtesy Adam Pearson

His brother, who works as a medical librarian, eventually developed short-term memory loss and epilepsy as a result of NF1. Yet Pearson says, “My brother and I were raised to live the life we’ve got and not mourn the one we don’t have.”

Adam PearsonAnything I can do to destigmatize disability is a good thing

Adam Pearson

Anything I can do to destigmatize disability is a good thing

But, he says, Hollywood largely relies on “lazy writing” when it comes to disabilities: “I don’t think there are enough disabled voices feeding into the creative process. I get frustrated when people pretend they can’t find them. Granted you don’t have to, but then don’t be surprised when what you make is garbage.”

Stan says collaborating with Pearson enriched his portrayal of a man who lives with disfigurement until he’s able to transform his appearance. “Adam is a truth-teller and he’s incredibly honest. We clicked right away,” says Stan. “He was kind in being open with me about his childhood and what he encountered in his life. All of it was vital towards me being able to construct a past for my character.”

And Schimberg says he hopes to cast Pearson in future films. “He deserves to be in other movies, movies that aren’t specifically about disability,” Schimberg says. “He has what it takes.”

‘A Different Man’ director Aaron Schimberg with Reinsve, Pearson and Stan at the Berlin Film Festival in February.RONNY HARTMANN/AFP via Getty

RONNY HARTMANN/AFP via Getty

On-screen or off, the actor says he’ll continue to be a voice for — and a face of — change.

That can mean not hiding from uncomfortable stares — or probing questions. “I think an honest conversation goes a long way,” says Pearson. “Curiosity should be answered with kindness. All people want is to know that you’re okay and that they’re going to be okay. After that, it’s plain sailing.”

Instead, he wants to live his life “trying to add value where I can," he says. “If what I’m doing now means that younger Adam Pearsons don’t have to walk through hell in school, or that someone who looks like me can walk into a pub and it isn’t a big deal, then I’ve accomplished my goal.”

What is Neurofibromatosis Type 1?

As seen in Adam Pearson and his brother Neil’s cases, NF1 has “variable manifestations,” says Dr. Jaishri Blakeley, director of theJohns Hopkins Comprehensive Neurofibromatosis Center.“You can inherit the gene and have very few problems, or you can have an overwhelming burden.” Among the most common presentations of the condition are cognitive challenges and tumors, either in deep nerves or in nerves that go to the skin.

“Facial overgrowth,” like Pearson’s, is more rare, says Dr. Blakeley. While surgery can be done to “debulk” or reduce the size of tumors like his, attempting to completely remove such tumors can cause nerve or structural damage. “If there’s too much effort to ‘clear’ the tumor, you will lose all the cranial nerves which are required for moving your eyes, swallowing, chewing, talking,” she says.

For more on Adam Pearson, pick up the new issue of PEOPLE, available on stands nationwide on Friday, Sept. 20.

source: people.com