Cinematic rendering is an advanced three-dimensional post-processing technique that applies Monte Carlo–based global illumination to CT datasets, producing photorealistic volumetric reconstructions that enhance depth perception and tissue-plane visualization compared with conventional greyscale imaging. In this pictorial essay, cinematic rendering was applied to coronary CT angiography examinations demonstrating anomalous coronary artery origins, including interarterial trajectories and post-surgical anatomy following unroofing procedures. Using illustrative cases, we describe how cinematic rendering’s depth cues and soft-tissue contrast can complement standard two-dimensional reconstructions when characterizing vessel course relative to the great vessels—an anatomic distinction relevant to risk stratification and surgical planning. These observations are qualitative and drawn from our experience with the cases presented rather than from a blinded reader study or quantitative comparison; we discuss this limitation further below. Through representative imaging examples, cinematic rendering helped reestablish volumetric context and enabled continuous tracking of coronary vessels in the cases presented.