To help those with terminal illness achieve the best possible experience of dying, clinicians need to know what their patients want and what they want to avoid at the very end of life. In this study, 26 men who were identified as having terminal heart disease or cancer described good and bad deaths. The interviews were tape recorded, transcribed, and analyzed using grounded theory methods. The authors found heterogeneity in responses to questions about good deaths, bad deaths, and preferred dying experiences. Participants voiced multiple reasons for why dying in one's sleep led to a good death and why prolonged dying or suffering led to a bad death. In discussing the end of life with terminally ill patients, clinicians may want to identify not only their patients' views of good and bad deaths, but also how the identified attributes contribute to a good or bad death.