Death investigation was a central aspect of forensic medicine. However, doctors struggled with uncertainty in defining and evaluating signs of death, at the same time as popular fears of premature burial abounded. Moreover, they faced considerable difficulties in distinguishing between homicides, suicides, and natural or accidental deaths and in determining the cause of death. Anxiety about insufficiently trained and incompetent practitioners who performed medicolegal duties that exceeded the limits of their knowledge and skills fueled demands for medicolegal reform. As medicolegal expertise played a more and more decisive role in criminal investigations and prosecutions, flawed forensic expertise became an increasingly salient problem that sparked ongoing debates about possible structural solutions.