This chapter discusses starvation deaths, a death due to irregular and continuous deprivation of food alone or food and drink. The death can be acute starvation or total fasting and chronic starvation or malnutrition. Mode of starvation can be failure of taking food or refusal to take food. Signs and symptoms of acute starvation and chronic starvation are presented. Postmortem findings of starvation deaths include complete lack of fat in the subcutaneous and deep fat depots and skin is pale and cadaverous in most of the cases and dark brown in few. In such cases edema and peritoneal effusions may occur and liver may show centrilobular necrosis due to protein deficiency. The characteristic postmortem findings include complete disappearance of body fat, disuse atrophy of the digestive tract, and translucent small intestinal walls. Before opining on starvation as cause of death, the doctor should rule out tuberculosis, carcinoma, stricture of esophagus, anorexia nervosa, radiation sickness, pernicious anemia, inflammatory bowel disease and Addison\'s disease.