Sony Pictures Classics bought the US distribution rights for the film in a low seven figure deal that was announced on September 11, 2014. SPC gave the film a one-week qualifying run for the Oscars starting December 5, 2014, with a wider theatrical release on January 16, 2015. The film went into full wide release in the United States on February 27, 2015.
The film was part of the confidential data stolen in the Sony Pictures Entertainment hack incident. It was subsequently leaked onto peer-to-peer file sharing websites on November 27, 2014, over a month ahead of its intended public release. Along with it came Fury and three other at-the-time unreleased Sony Pictures films (Annie, Mr. Turner and To Write Love on Her Arms). Within three days of the initial leak, Still Alice had been downloaded by an estimated 103,832 unique IPs.