Examining the evolving landscape that is found around end-of-life psychedelic care, Dr. Richard Louis Miller, a clinical psychologist for more than half a century, looks at how LSD, MDMA, psilocybin, and ayahuasca can be vital tools in allowing individuals in all stages of life to confront fears of dying and, in so doing, lead richer lives. Miller shares wisdom from experts on the frontiers of psychedelic research and palliative care and examines cutting-edge studies from Johns Hopkins, UCLA, and NYU School of Medicine that show dramatically decreased anxiety in terminally ill patients through the use of psychedelics. He explores how different substances can help the dying overcome their end-of-life distress, and provides testimony from researchers and patients participating in psychedelic-assisted psychotherapy that helps convey the experience of ego death at the heart of the psychedelic experience. Miller outlines 10 steps for dying gracefully, without fear, with the help of psychedelics, and examines how to navigate the complex legal landscape and find the right guide, dose, and therapy. He also includes reflections from key figures in the psychedelic community as well as some of his own psychedelically informed mystical and near-death experiences. Revealing psychedelics as a portal of transformation, Miller shows how they are singularly valuable in helping individuals face the end of life with courage and serenity.