When a Narcissist Dies: Understanding the Final Days of a Narcissist
Explore the disturbing reality of how narcissists face death, revealing intensified manipulative behaviors and the lasting emotional impact on those they leave behind.
10/20/20244 min read


The Disturbing Reality of Dying Narcissists
When someone approaches the end of their life, their true self tends to emerge. This is particularly true for those with strong personality traits, such as narcissists or psychopaths. But what does it really look like when a narcissist is dying? It’s a complicated, often disturbing process. In this blog, we’ll dive into the experiences of dealing with dying narcissists, and why their behavior in death can be just as challenging as in life.
Understanding Narcissistic Personality Disorder (NPD)
The term “narcissist” gets thrown around a lot, but true Narcissistic Personality Disorder (NPD) is far more than just arrogance or self-importance. NPD exists on a spectrum, and people with NPD are distinguished by their extreme levels of insecurity, arrogance, and lack of empathy. While many people may have narcissistic traits, true NPD affects only 1-2% of the population, and it is classified as a Cluster B personality disorder, alongside other emotional and erratic conditions like borderline personality disorder and antisocial personality disorder.
Key traits of NPD include:
Exaggerated sense of self-importance
Constant need for admiration
Lack of empathy for others
Unreasonable expectations of special treatment
Exploitation of others for personal gain
Intense envy and belief that others are envious of them
Living with a Narcissist
Imagine being married to or having a parent with NPD. The daily experience of living with someone so self-centered, emotionally detached, and manipulative is difficult enough. Now imagine that person facing their own mortality. How does someone who constantly seeks control, attention, and power handle the loss of control that comes with dying?
Narcissists are notorious for their refusal to admit fault or vulnerability, and they often lash out in their final days. Instead of becoming more humble or reflective, they may become more entitled, demanding, and cruel as they face the inevitable.
Hospice Stories: When Narcissists Face Death
In my work as a psych in a hospice facility, I’ve encountered several patients with diagnosed NPD. These patients were particularly difficult to care for, both for staff and their families. Their final days were not spent reflecting or making amends; rather, they continued to manipulate, belittle, and berate those around them.
Case 1: The Abusive CEO
One patient, a man in his 40s, had cancer and was the epitome of a narcissistic personality. He verbally abused his wife, blamed her for his illness, and constantly berated the hospice staff. His behavior became so extreme that we had to station security outside his room. He died alone, having alienated both his family and the staff trying to care for him.
Case 2: The Abandoned Mother
Another patient, a woman in her 60s, had pushed her adult children away long before her illness. When she entered hospice care, she demanded that her children come to see her, but they were reluctant to do so after years of emotional abuse. Her oldest son finally visited, only to be met with accusations and blame. Her other children chose not to come, and she too died alone.
The Narcissist’s Final Control
Interestingly, narcissists often try to die at home, not out of comfort, but to maintain control. They continue to manipulate and demand attention, even in their dying days. As their fear of death grows, so too does their arrogance and entitlement. They refuse to apologize or take responsibility for their actions, holding onto the illusion of power until the very end.
The Aftermath: What to Expect
Even after death, narcissists often find ways to exert control. Many narcissists leave their estates to enablers, people who validated their false self, or they may leave everything to a charity or pet, simply to maintain the appearance of virtue. If you’re hoping for an inheritance or closure, it’s unlikely to happen.
Worse still, the emotional scars inflicted by narcissists don’t fade after their death. Many victims of narcissistic abuse expect relief when their abuser dies, only to find that the pain persists. It’s crucial to seek help for yourself before it reaches this point. Surround yourself with supportive people, and if needed, reach out to mental health professionals or support groups that specialize in dealing with narcissistic abuse.
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Moving Forward
As heartbreaking and infuriating as it may be, a dying narcissist will not soften in their final moments. Their traits, rooted in deep insecurity, only become more pronounced as they face death. If you’ve been affected by a narcissist in your life, remember that it’s okay to walk away, even when they’re dying. Your well-being is just as important as theirs, if not more.
It’s a challenging reality, but understanding what to expect from a dying narcissist can help you prepare emotionally and mentally.If you found this article helpful or you have your own stories about dealing with narcissists, feel free to reach out to us. And remember, it’s never too late to seek help and start healing.
If you’re looking for personal guidance in navigating these complex emotions, consider booking a 1-on-1 online consultation with one of our specialists to support your healing journey.
