In 2004 Amenábar released The Sea Inside, a real life-story about a quadriplegic Ramón Sampedro (played by Javier Bardem), which addressed issues such as euthanasia, abortion, or “the right to a dignified life.” The movie won 14 Goyas, including best movie and best director, and an Academy Award for Best Foreign Language Film in 2004.
In 2004, Amenábar came out as gay. On 18 July 2015, he married David Blanco. Amenábar was raised Catholic, but later became Agnostic and is now Atheist.