Caruso was born in Forest Hills, Queens, New York, the son of Joan, a librarian, and Charles Caruso, a magazine and newspaper editor. He is of Irish and Italian descent. His father left when David was two years old, forcing him to "end up fathering myself", as he put it. Raised as a Roman Catholic, Caruso attended Our Lady Queen of Martyrs Catholic School in Forest Hills. He later attended Archbishop Molloy High School in nearby Briarwood, graduating in 1974.\n', '

\n', 'Caruso worked as a cinema usher, where he would see up to 80 movies a week. He said that he and his co-workers would act out scenes from some of these movies while they were at the back of the theater. In this job he found his role models in Humphrey Bogart, James Cagney and Edward G. Robinson. He said:

Caruso\'s first movie appearance was in the 1980 film Getting Wasted as Danny. He credits his role as Topper Daniels, "the cadet who nearly drowned", in An Officer and a Gentleman (1982) as what got him noticed. Caruso then spent most of the decade in supporting roles in films including First Blood (1982), Blue City (1986), China Girl (1987) and Twins (1988).\n', '

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