Prior hypotheses as to the etiology of near-death experiences (NDEs) have been limited to psychiatric explanations or brief discussions of endorphins as causative agents. We present a neurophysiological explanation for NDEs based on their similarities with lysergic acid-, ketamine-, and hypercapnia-induced hallucinations. We believe the core NDE is genetically imprinted and triggered by serotonergic mechanisms.Near-death experiences (NDEs) are profound transcendental events experienced on the threshold of death. They have been reported by people who have been seriously injured or ill but recovered (Greyson & Stevenson, 1980), and by people who have had anticipated imminent death in a potentially fatal situation but escaped unharmed (Comer, Madow, & Dixon, 1967). They have been documented as occurring primarily in survivors of cardiac arrests and profound comas, as op posed to seriously ill patients who are treated with mechanical ventila tion, narcotics, and anesthetic agents, but who are not critically ill and at risk of dying (