James van der beek has been making headlines throughout 2025, not just for his nostalgic return to the spotlight with the highly anticipated dawson’s creek reunion, but also for his courageous battle against stage 3 colorectal cancer. The beloved actor, best known for his role as Dawson Leery on the iconic teen drama dawson’s creek, was forced to miss the emotional September 22 reunion event due to illness, with Broadway superstar lin manuel miranda stepping in as his replacement. This recent development has brought renewed attention to james van der beek health concerns and his ongoing advocacy for cancer awareness and early screening.

Dawson’s Creek Reunion: A Bittersweet Gathering
The much-anticipated dawson’s creek reunion took place on September 22, 2025, at the Richard Rodgers Theatre in New York City, bringing together the original cast for the first time since the series ended in 2003. The event featured a live reading of the show’s 1998 pilot episode, with original cast members Michelle Williams, Katie Holmes, Joshua Jackson, Mary Beth Peil, John Wesley Shipp, Mary-Margaret Humes, Nina Repeta, Kerr Smith, Meredith Monroe, and Busy Philipps participating in this emotional gathering.
The reunion served as both a celebration of the beloved series and a fundraising event for F Cancer, a nonprofit organization supporting cancer research and awareness. The timing was particularly meaningful given james van der beek ongoing battle with colorectal cancer, making the event a powerful show of support from his former castmates and fans alike.
Lin Manuel Miranda Steps Into Capeside
In a surprising twist that delighted fans, lin manuel miranda, the Tony Award-winning creator of “Hamilton,” stepped in to read the role of Dawson Leery when james vanderbeek was unable to attend due to stomach viruses. Van Der Beek announced the substitution on Instagram, joking that Miranda was “someone my kids would definitely consider an upgrade over me” and noting the convenience that Miranda “already knows how to get to the theater” since “Hamilton” performs at the same Richard Rodgers Theatre.
The casting choice proved inspired, as Miranda brought his theatrical expertise to the beloved character while maintaining the emotional weight of the evening. Steven Spielberg, who served as Dawson’s creative inspiration throughout the series, even appeared via video message to honor the reunion.

James Van Der Beek Health Journey and Cancer Battle
James van der beek health has been a primary concern for fans since he publicly revealed his stage 3 colorectal cancer diagnosis in November 2024. The actor was actually diagnosed in August 2023 but chose to keep his battle private while undergoing treatment and spending time with his family at their Austin, Texas ranch.
Cancer Diagnosis and Early Symptoms
Van Der Beek’s cancer journey began when he noticed subtle changes in his bowel movements during summer 2023. Initially dismissing these changes as related to his coffee consumption, he eventually sought medical attention when symptoms persisted. A colonoscopy revealed the stage 3 colorectal cancer diagnosis, shocking the actor who considered himself in excellent physical health.
“There wasn’t any red flag or something glaring,” Van Der Beek explained in interviews. “I was healthy. I was doing the cold plunge. I was in excellent cardiovascular condition, yet I was diagnosed with stage 3 cancer, completely unaware of it.

Treatment and Prognosis
The actor’s treatment regimen has become what he describes as a “full-time job,” involving significant changes to his diet, exercise routine, and lifestyle. While Van Der Beek hasn’t shared specific medical details, he’s indicated exploring various treatment approaches and working closely with medical professionals to manage his condition.
According to medical experts, stage 3 colorectal cancer that remains localized has a 91% five-year survival rate, providing reason for optimism. Van Der Beek has expressed cautious hope about his prognosis while acknowledging that cancer management will likely be a lifelong journey.

Career Evolution and Recent Projects
Beyond his health challenges, james van der beek has continued working in entertainment throughout 2025, demonstrating resilience and dedication to his craft. His recent appearances include competing on season 13 of “The Masked Singer” as “Griffin,” where he performed with elaborate wings that opened during his acts. The show incorporated references to his health journey in the clues, and his wife Kimberly and their six children made a surprise appearance when he was eliminated.
Return to Acting
Van Der Beek has also returned to scripted television with his casting in an upcoming “Legally Blonde” prequel series, marking his first major acting role since his cancer diagnosis. This return to acting represents both professional resilience and personal healing, as the actor finds ways to balance his health management with his passion for performance.
Family Life and Personal Growth
The cancer journey has profoundly impacted Van Der Beek’s relationship with his wife Kimberly and their six children: Olivia (14), Joshua (13), Annabel (11), Emilia (9), Gwendolyn (7), and Jeremiah (3). During his treatment, away from what he calls “the delightful chaos of six children, 36 acres, five dogs, and a bearded dragon,” he discovered the importance of self-love and positive self-talk.
Dawson’s Creek Legacy and Cultural Impact
The dawson’s creek reunion highlighted the enduring cultural significance of the series that ran from 1998 to 2003 on The WB network. The show helped establish both the network and its young cast, launching careers and creating a template for teen drama that influences television today.
Cast Relationships and Reunion Moments
One of the most touching moments of the reunion occurred when Joshua Jackson (Pacey) and Katie Holmes (Joey) held hands during the final performance of the show’s theme song “I Don’t Want to Wait”. This gesture delighted longtime “Pacey and Joey” fans and demonstrated the genuine affection the cast members still share more than two decades after the show began.
Van Der Beek’s children participated in the reunion by joining the cast on stage to sing the theme song, with his wife Kimberly also taking part in the emotional finale. Despite his physical absence, Van Der Beek made virtual appearances through pre-recorded video messages, expressing gratitude to fans and the cast for their support during his health journey.

Cancer Awareness and Advocacy Work
James van der beek has transformed his personal health challenge into a platform for cancer awareness and advocacy. He has partnered with organizations like Guardant Health to promote colorectal cancer screening, particularly emphasizing the importance of early detection for adults beginning at age 45.
Screening Advocacy
Van Der Beek’s advocacy focuses on encouraging people to get screened even without obvious symptoms. His own experience—being diagnosed at 46 when he thought he was “way ahead of the game” for screening—illustrates how the disease can affect seemingly healthy individuals.
The actor has been particularly vocal about the need for increased awareness among younger adults, as colorectal cancer rates have been rising in people under 50. His partnership with medical organizations aims to normalize discussions about screening and reduce stigma around digestive health concerns.
Looking Forward: Hope and Resilience
As james van der beek continues his cancer journey, he remains focused on family, advocacy, and selective career projects that align with his values and energy levels. The dawson’s creek reunion may have proceeded without his physical presence, but his impact was felt throughout the evening through the love and support demonstrated by his former castmates and the thousands of fans who attended or watched from afar.
The actor’s journey from teen heartthrob to cancer advocate represents a profound evolution, demonstrating how personal challenges can become catalysts for broader social impact. His willingness to share his story publicly, despite the vulnerability it requires, continues to inspire fans who grew up watching him navigate fictional challenges as Dawson Leery and now witness him facing very real ones with grace and determination.
FAQ
What specific type of cancer does James Van Der Beek have?
James Van Der Beek was diagnosed with stage 3 colorectal cancer in August 2023, which he publicly revealed in November 2024. He is currently undergoing treatment and has described managing the disease as a “full-time job.”
Why did James Van Der Beek miss the Dawson’s Creek reunion?
Van Der Beek was forced to miss the September 22, 2025 Dawson’s Creek reunion due to contracting two stomach viruses, which prevented him from traveling to New York City for the charity event at the Richard Rodgers Theatre.
Who replaced James Van Der Beek at the Dawson’s Creek reunion?
At the reunion, Lin-Manuel Miranda, who is the creator of “Hamilton,” filled in for the role of Dawson Leery. Van Der Beek joked that Miranda was “someone my kids would definitely consider an upgrade” and noted the convenience that Miranda already knew how to get to the theatre.
What was the purpose of the Dawson’s Creek reunion?
The reunion was a charity fundraising event to support F Cancer and Van Der Beek during his cancer battle. The cast performed a live reading of the show’s 1998 pilot episode to raise money and awareness for cancer research.
How is James Van Der Beek’s health currently?
Van Der Beek continues his cancer treatment and has described it as an ongoing journey that will likely continue for the rest of his life. Despite health challenges, he remains optimistic and has returned to selective acting projects while focusing on family and cancer advocacy work.
