One of the most enigmatic aspects of decapitation practices among south coastal Peruvian Paracas and Nasca cultures (900 B.C.-A.D. 750) is the near absence of headless bodies in the archaeological record. Drawing on a case study of an Early Nasca, Phase 3 headless burial at Site PV62D13 in the lower Ica Valley, together with examples of headless interments reported in the literature, I examine the nature and disposition of headless burials. Three burial patterns, or forms, are proposed. The burial at PV62D13 is distinguished for its extended posture and interment in a non-cemetery setting and is proposed to be a dedicatory burial. Burial forms for disembodied heads are also examined, and over time, a notable increase in cached heads, buried without grave offerings is observed. Painted ceramic images of Nasca trophy heads and headless bodies are reviewed diachronically and a marked increase in decapitation scenes is noted for Late Nasca. Attention is drawn to the limited number of headless body images overall, and possible solutions to reconcile the visual imagery with the archaeological data are offered.