 Caligari was released at a time when foreign film industries had just started easing restrictions on the import of German films following World War I. The film was acquired for American distribution by the Goldwyn Distributing Company, and had its American premiere at the Capitol Theatre on 3 April 1921. It was given a live theatrical prologue and epilogue, which was not unusual for film premieres at major theatres at the time. In the prologue, the film is introduced by a character called "Cranford", who identifies himself as the man Francis speaks with in the opening scene. In the epilogue, Cranford returns and exclaims that Francis has fully recovered from his madness. Mike Budd believes these additions simplified the film and "adjusted [it] for mass consumption", though Robinson argued it was simply a normal theatrical novelty for the time. Capitol Theatre runner Samuel Roxy Rothafel commissioned conductor Ernö Rapée to compile a musical accompaniment that included portions of songs by composers Johann Strauss III, Arnold Schoenberg, Claude Debussy, Igor Stravinsky and Sergei Prokofiev. Rotafel wanted the score to match the dark mood of the film, saying: "The music had, as it were, to be made eligible for citizenship in a nightmare country".
