International criminal justice is on one level a project of hubris and promise, but on another level a project arguably riddled by anxieties. These anxieties are linked to the dizziness of choices available to it, and the degree to which every move to compensate for anxieties produces its own form of anxiety. This article surveys ten distinct anxieties that are deemed to be constitutive of the movement. Ultimately, it argues that the neurotic nature of international criminal justice can be the source of its creativity and resilience.