For Fall on Your Knees, MacDonald won the 1997 Commonwealth Writers Prize for Best First Book.[3]
Also in 1997, the book won the Canadian Authors Association Award for Fiction.[4]
It won the Canadian Booksellers Association's Libris Award (date of award unknown).[4]
The novel was shortlisted for the Giller Prize in 1996.[4]
It was selected for Oprah's Book Club in 2002 and was chosen for the Amnesty International Book Club for July/August 2014.[4]