Director Billy Wilder's technique of photographing Third Avenue in the grey morning sunlight with a concealed camera to keep the crowds from being self-conscious gives this sequence the shock of reality.
Although ultimately less bleak than Charles Jackson's autobiographical novel, the film is uncompromising in its depiction of the lies, self-deception and degradation that alcoholism leads to.
What makes the film so gripping is the brilliance with which Wilder uses John F Seitz's camerawork to range from an unvarnished portrait of New York brutally stripped of all glamour.
Despite the grim subject matter, there are glimpses of Wilder's characteristic mordant wit, and the director's location work in New York's Third Avenue district is exemplary. Casting the hitherto bland Milland was a stroke of genius.
Under Wilder's imaginative direction, Milland has been able to convey just what an uncontrollable craving for liquor does to a man's mind, his body and soul.