The runner-up award was given to “Never Rarely Sometimes Always,” an emotionally wrenching drama by the American director Eliza Hittman about a 17-year-old girl traveling to New York from a small Pennsylvania town to get an abortion. The film had previously won the Special Jury Award for neo-realism at the Sundance Film Festival.

The award for best female actor was given to Paula Beer of Germany for her role in “Undine,” directed by Christian Petzold, in which Ms. Beer plays a mythical water nymph facing a breakup and finding new love in contemporary Berlin. The award for best male actor was given to Elio Germano for his intense portrayal of the Italian painter Antonio Ligabue in “Hidden Away.”

The prolific Hong Sang-soo of South Korea took home the best director award for “The Woman Who Ran,” an understated film focused on a series of encounters by a woman visiting old friends. And Damiano and Fabio D’Innocenzo won the best screenplay award for “Bad Tales,” a darkly tinged examination of one summer in the lives of several families in a small Italian town. The prize for best L.G.B.T.-themed fiction film went to “No Hard Feelings,” a German film focusing on the relationship between a German-Iranian youth and a refugee.

This year’s festival was the first under a new dual-leadership structure headed up by the artistic director Carlo Chatrian and the executive director Mariette Rissenbeek. Many observers of the festival had hoped that Chatrian and Rissenbeek would reinvigorate the festival, which had been accused in recent years of lax curation.

They slimmed down the number of films shown at the Berlinale (as the festival is known in Germany), introduced a new section called Encounters that is dedicated to “aesthetically and structurally daring works,” and promised more attentive curatorial oversight. But many critics saw this year’s lineup as business as usual. Writing in the German newspaper Frankfurter Allgemeine Zeitung, the critic Andreas Kilb argued that the festival had not had “many more truly great and prize-worthy contributions” than in previous years.