Angus: Lads, say a prayer, I'm afraid Harry Beaton is dead!Someone pushes someone over, they bang their head on something and are killed instantly. This seems to be the best way to pull off involuntary manslaughter without making the guy who did it unsympathetic. Depending on the context, death by falling over may be seen as a particularly "un-dramatic" way to check out. It's fine if the show's realistic (or if the focus is on the 'death by accident' plot), but try to write off a major character or villain (particularly in an action series) in this way and the fans will see the invisible bridge that knocked him over. It just can seem a little anticlimactic in fiction. Truth in Television, since it's actually not uncommon for people to die in this way, especially if stairs are involved. Aside from someone being pushed, a common example is drunk people not protecting themselves when they fall over, leaving their heads to smash uninhibited into concrete. The main risk is that a blood vessel will rupture and bleed into the brain or skull, causing pressure to build so the delicate tissue doesn't get enough oxygen. Depending on the severity of the bleed, it can take anywhere from minutes to hours for death to occur. A person with a slow bleed may even be able to function normally for a while, until the headache and other symptoms overwhelm them. Often the person's life can be saved if they get medical attention quickly enough. See also Instant Death Bullet, Railing Kill, Disney Villain Death, Made of Plasticine, and Staircase Tumble. May or may not overlap with Undignified Death and Dropped a Bridge on Him. Contrast Hard Head, Tap on the Head.
Tommy: Looks like he fell on a rock and it crushed in his head.
Tommy: Looks like he fell on a rock and it crushed in his head.
— Brigadoon, "The Chase"
As a Death Trope, all Spoilers will be unmarked ahead. Beware.
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Anime and Manga
- Happens to Hyatt in Excel Saga. She need not fall from any sort of height, however. She just falls over where she stands and dies. And then gets up and usually apologizes. note
- Used in Bokurano when the amiable soccer player Waku is nudged off the Humongous Mecha the rest of the group is standing on. Bonus points: the coldest member of the group compliments the accidental pusher on having — accidental or not — experience in killing someone. Revealed as subverted, as he was quite dead beforehand.
- The Vision of Escaflowne: In an early episode, a sadistic prison-camp warden died from falling backwards onto a rock.
- Nadia: The Secret of Blue Water: The Big Bad forces Nadia, Jean and others to stand up on top of very tall pillars. At some point, said Big Bad activates a remote control and moves the pillar Jean is standing on; he plummets to the ground and dies. The spirits of the Atlanteans that are trapped in Nadia's Blue Water rebel, and use their remaining powers to revive Jean.
- Black Jack: Used (with gruesome explicitness for the first example) for some of the Super Humans.
- Mobile Suit Gundam:
- Tem Ray, Amuro's father, falls down a flight of stairs in his exuberance at seeing the Gundam defeating Zeon forces in a battle near Side 6. Although his fate is left ambiguous in the TV series, the Compilation Movie later confirmed he did indeed die from falling down the stairs.
- Iselina stood on top of a ship, about to (try to) shoot Amuro to avenge Garma, when she randomly faints, falls off the ship, and dies.
- Mobile Suit Victory Gundam: This is how Chronicle Asher dies. More exactly, during the Grand Finale he escapes from his destroyed mobile suit, only to end up splattered on the ground..
- Almost happens in the Fruits Basket manga, when Tohru Honda falls off a cliff during her final confrontation with Akito. Both of them get better later: Tohru survives the fall and recovers nicely, Akito has a Heel–Face Turn.
- In the first Fey Kingdom sketch in Nichijou, Smug Snake Dolph believes his rebellion's success is in his grasp. Then he trips over his own feet and gets declared dead on the spot.
- Subverted twice, but also played straight in Another.
- First subversion: Yukari Sakuragi slips and falls down the school stairs, but what kills her is getting impaled through the neck by the metal end of her umbrella, which opened in the worst moment possible.
- Second subversion: Junta Nakao fell down his house' stairs, but seems to be mostly okay at first. It turns out he suffered an aneurysm, which killed him hours later as he was swimming with his friends.
- Straight example: In 1983, Reiko and Matsunaga's classmate Yuki Hoshikawa died when she fell off a cliff during a school trip and right after another student died thanks to the Calamity. She's seen hitting trees and rock on her way down to her death.
- Averted in Mawaru-Penguindrum. Asami Kuho gets pushed down some elevator stairs by Kanba's Clingy Jealous Girl Masako, but aside of minor injuries she lives to tell.
- Queen Harumiyah dies this way in Kemono no Souja Erin. Her ship is attacked by Touda in an assassination attempt, but she gets hurt only from falling and hitting her head. It takes a few days until she dies.
- Kuina, childhood friend of Roronoa Zoro in One Piece, was an excellent swordsman. She was good enough that Zoro himself never beat her in a spar. Then one day, she tripped going down the stairs and broke her neck. Zoro, humiliated and heartbroken that she died so suddenly without him ever having the chance to prove himself, made this the justification for his entire life - to become a swordsman so great that even Heaven would know who he is.
- In the manga Kirara, when the 48-year-old ghost of Konpei travels back in time to see Kirara as a highschool student again (and seeing the adult Kirara who died before their wedding), the older Kirara reveals that he died at age 48 after a bad trip.
- Anya's Ghost: Emily died by falling down an unused well and breaking her neck. Disturbingly, it wasn't the actual fall that killed her; the injury left her unable to move or call for help, so she just languished down there till she died of thirst.
- How Zoe from Morning Glories kills a teacher who appeared to be raping her best friend. Gets a bit less sympathetic when the two girls incinerate him in the school furnace.
- Damien Wayne/Robin caused this to happen to Nightwing in the Injustice: Gods Among Us tie-in comic (pictured) - he threw a stick at him, Dick fell down, his neck hit a rock, boom, dead. Many fans complained about how unrealistic it was that an acrobat didn't know how to fall safely despite the fact he got a severe concussion from being hit directly in the head.
- In one issue of The Brave and the Bold, the Metal Men die one by one in this fashion, though in most of the cases it was more like "death by falling into something that's dangerous anyway", like a smelting pool or exposed electrical wiring. Lead got the worst of it — he exploded while trying to reach something on a high shelf. The Atom later discovers that the issue's villain was behind it, having used gadgetry to induce dizziness in and weaken the constitutions of the Metal Men.
- One character in The Texas Chainsaw Massacre comic Fearbook meets her demise when she trips over a piglet, falls through a second story railing and hits her head on the ground, breaking her neck.
- While "falling over" isn't an exact description, one issue of The Walking Dead features the accidental death of a villain by being pushed off against a table by the main hero, only to have their neck broken when hitting the edge.
- In the second arc of Copperhead Bronson offs Gus by knocking him down a stairwell, snapping his neck in the process.
Films — Animation
- In the Disney version of The Hunchback of Notre Dame, Frollo knocks Quasimodo's mother over on the steps of the cathedral, and she goes down so decidedly it almost looks like she's already dead when her head hits the stone.
- In Freddie as FRO7, Freddie's dad dies when he falls over a short hill when his evil sister in snake form spooks his horse.
Films — Live-Action
- Occurs in the Irish film Dead Bodies — twice.
- Death at a Funeral: where the titular death happened like this. Although the victim isn't really dead.
- In the film version of The Canterville Ghost, the titular ghost is doomed to walk the earth for killing his wife. Tormented by guilt and still in love with her, he describes her death as an accident: "We argued. I struck her. She fell - down the stairs." (Of course, in the original story the murder was perfectly intentional and the ghost cheerfully unrepentant).
- Happens in the original Night of the Living Dead (1968), with the leading lady's brother knocked over by a zombie and hitting his head on the corner of a tombstone. He got better, sort of.
- Happens twice in Sex And Death 101. During an argument, Miranda Storm slips on spilled wine and breaks her neck. Also, Gillian De Raisx's husband hits his head and dies after tripping on her dropped pencil.
- Happens in Con Air. It's the 'crime' that puts Nicolas Cage away in the first place.
- It was probably Dr Woodrue's intention to kill Pamela Isley this way in Batman & Robin. Instead she became a mix between a plant and a drag show reject. When will they ever learn?
- Invoked deliberately in The Hunt for Red October: Captain Ramius of the titular submarine disposes of his unwanted political officer by slamming his neck into the corner of a table, then spills some of his tea on the deck.
"Doctor Petrov, report to my cabin immediately. There's been a dreadful accident."
- Subverted in Misery. During the final fight scene, Annie falls and hits her head on the typewriter, and Paul assumes she's dead. As he's crawling out of the room, however, she attacks him again, and he manages to kill her for real this time by bashing her head in with a small statue.
- In Shaun of the Dead, Shaun pushes away a zombified woman and she impales herself on a post. He momentarily panics about being a murderer before she gets back up.
- In the turning point of the 1940 film version of Rebecca, Rebecca is revealed to have died this way. While trying to provoke her husband, Maxim de Winter, into killing her, she stumbled and struck her head on some heavy ship's tackle. (In the book by Daphne du Maurier, Rebecca succeeds in provoking Maxim into shooting her, but the Hollywood Production Code would have required that he be brought to justice for murder, so her death was re-written to be a freak accident.)
- In Sin Nombre, Lil' Mago follows his Attempted Rape of Martha Marlene with a slap. She bangs her head on a rock and doesn't move again.
- The Russian in the Thomas Jane The Punisher (2004) film. Stabbing doesn't even slow him down. Crowbar to the head barely fazes him. Grenades are ineffective. A tumble down the stairs? Goodnight, sweetheart.
- Robert Altman's McCabe & Mrs. Miller has a character fall down and hit his head on a rock. A friend tries to put him back on his feet, then recoils when he feels blood and/or brain matter on the back of the dead man's head. This leaves the man's new mail-order bride suddenly alone in unfamiliar surroundings.
- The title character in The Man with the Iron Fists is forced to flee from America when his pulling a bag out from under a white man's feet causes the man to fall and puncture the back of his skull on the corner of an anvil.
- Giselle of The Haunting of Whaley House dies this way courtesy of a set of stairs and a Jump Scare ghost.
- In Into the Woods, Jack's Mother dies when the Steward pushes her to the ground and she hits her head on a log. In the stage show, the Steward actually clubs her with his cane.
- In Catch Me If You Can, Frank Abagnale Jr. discovers his father fell down a flight of stairs in Grand Central Station and broke his neck.
- In The Adventures of Buckaroo Banzai Across the 8th Dimension, the first Black Lectroid to emerge from the spaceship falls out of the ship onto a rock, dying instantly.
- In Ginger Snaps, Alpha Bitch Trina slips in a puddle of spilled milk and brains herself on a countertop.
- In Dunkirk, a brief scuffle aboard Mr. Dawson's boat causes George to fall and hit his head, resulting first in his blindness and eventually in his death.
- In Tamara, Tamara dies when she gets thrown to the floor during the motel room and strikes her head on the edge of a stand on her way down.
- Will does this to what looks like a burglar at the start of The Subtle Knife.
- Also happens in one of the Deryni novels, The Quest for Saint Camber. One of the characters says "Death should be more difficult".
- It happens at least twice in the Deryni series. Rhys Thuryn dies this way in Camber the Heretic, and Tiercel de Claron is killed in The Quest for Saint Camber when Conor shoves him down a flight of stairs during an argument.
- Mercedes Lackey's sword-and-sorcery pair Tarma and Kethry manage this by accident while trying to avoid a fight with a surly drunk. As it turns out, the drunk in question is the corrupt local lord. As a bonus, a bard decides to spin the tale as a valiant, chivalrous fight against a tyrant, for the sake of good. Since the pair are trying to make a living as mercenaries, a reputation for ''pro bono'' hero work doesn't exactly help.
- Subverted in The Second Opinion, a medical thriller. Thea, the main character, ends up tackling Gerald down the stairs. He survives, but then Thea's brother Dimitri shows up and shoots him because he had no further use for him.
- In Frank G. Slaughter's A Savage Place, an old woman died because when she fell (shoved by her psychotic son, although he had no intention of killing her), her chin hooked over a chair arm in a way that resulted in her neck snapping.
- Occurs in The Time Thief, when the boy who keeps assaulting Anjali pushes Tom and causes him to crack his skull on the wall. Also ends up triggering The Tar Man's Berserk Button.
- The Bible:
- In Chapter 4 of the First Book of Samuel, when the already very old Hebrew priest Eli learned the Philistines had stolen The Ark of the Covenant and killed his two Jerk Ass sons, he fell over out of shock and broke his neck. (And his newly-widowed, pregnant daughter-in-law went into labor.)
- How Judas died, in one version. The first, in the Gospel of Matthew, depicts him as committing suicide after betraying Jesus. The other, in the Acts of the Apostles, said he used the bribe to buy a farm, but fell down and, to quote, Burst asunder in the midst, and all his bowels gushed out. Yeah, there's a reason everyone goes with the first one.note
- Happens twice in Warrior Cats:
- An elder, Graypool, is flustered when a large tomcat snarls in her face, so she takes a step backward, only to lose her footing on the steep riverbank and hit her head on a rock.
- During a battle, a dog accidentally runs into Rainflower; she falls and hits her head on a rock. This one's a little more realistic in that she doesn't die instantly; her son debates whether to first fetch the medicine cat or drive away the dog. He chooses to fight off the dog first, and in that amount of time, she dies, and he feels responsible for her death.
- After all the battles and adventures he's been in, Prince Arutha of Krondor dies by breaking a hip falling off his horse. Off-page, no less.
- In Hullo Russia, Goodbye England, a bookie is threatening to blackmail one the Vulcan bomber pilots, by advising the C/O that a man driving the aircraft which will deliver Britain's nuke has massive gambling debts. A more thuggishly inclined pilot then punches the bookie; he falls down in a heavy drift of nettles at the end of the airstrip. His eventual death in hospital is via urticaria - extreme allergy to nettle stings.
- In Bored of the Rings, Bromosel dies while trying to flee by tripping and falling on his own pointed shoes.
- In The Turn of the Screw, Peter Quint's death was caused by losing his footing on an icy path on the way back from a village pub, hitting his head on the bottom of the slope.
- Game of Thrones: Myranda falls to her death after being pushed off a balcony by Theon.
- Happens in the second season finale. Desmond gets into a fight with Kelvin, who ends up smacking his head on a rock.
- It happened to Richard's corrupt doctor via a table.
- Heroes: Claire somehow manages to fall onto a big chunk of wood that gets stuck in her brainstem, fortunately normally fatal wounds don't bother her much (she regenerates). She wakes up in the morgue when it's removed. Another time, getting tackled and knocked to the ground somehow twists her neck around 180 degrees.
- In Battlestar Galactica, Helo and Tyrol push over the would-be rapist Lt. Thorn and he hits his head on a bolt, killing him instantly.
- There's a Columbo episode where the "murder" happens like this. Fortunately, the "murderer" is a blackmailer as well, so we're not meant to be any more sympathetic towards him than any other Columbo villain.
- In Doctor Who, the Sixth Doctor's regeneration was triggered when the TARDIS took a direct hit, the console room shook, and the Doctor was knocked off his feet. Fans have speculated that he was injured by a fatal knock to the head or some such when he fell, but it's impossible to tell from the scene as filmed.note
- The Past Doctor Adventures novel Spiral Scratch suggests that the Doctor's regeneration was due to having his energy drained by a pan-dimensional being moments before the TARDIS was attacked.
- Lampshaded during "Zagreus", where Six is not at all happy about his exit. "A bang on the head!"
- Played for very Black Comedy in Campaign, where an alternate timeline Ian accidentally kills the Doctor by banging his head against the TARDIS console... and has to keep doing it over and over again when he keeps regenerating. The reference to the Sixth Doctor's manner of death is very intentional, as the book constantly references Dork Age Doctor Who moments in very twisted and violent contexts in order to induce deliberate Mood Whiplash.
- Also lampshaded in "Boom Town" where the Mayor of Cardiff is trying to explain how one of the chief engineers died;
"He fell on a patch of ice."
"He was decapitated."
"It was a very icy patch."
- Parodied in The Next Doctor, where the 10th Doctor meets who he thinks is a future incarnation of himself. He starts to ask how he died, then says he doesn't want to know because it would be embarassing if he had "tripped over a brick".
- Averted in Whose Line Is It Anyway?
Ryan: I just saved your life!
- In an episode of CSI NY, it appears that a main character kills another just by pushing them over, onto a rug. It even going so far as to have them arrested for the murder and even having them admit it. Later, it's revealed that the victim was just fine and got up after the other character left, only to be killed by someone else immediately after, in a decidedly more fatal way.
- In another episode, a movie producer died in suspicious circumstances so the detectives think someone pushed him, but it turns out that his death really was an accident: his wife had put him on a diet, so he was reaching up for a secret candy stash on the balcony, but he'd been drinking so he lost his balance and fell.
- Des Barnes on Coronation Street was killed by his stepson's drug dealers by being pushed and hitting his head on a chair. He lived long enough to die in hospital... of a related heart attack.
- Dead Like Me has too many examples of this to count.
- Cold Case uses this one a lot as well, particularly in the later seasons.
- In the Buffy the Vampire Slayer episode "Ted," Buffy and her mother's boyfriend get into a fight that ends with Buffy accidentally knocking him down the stairs, killing him. (It's okay. He was Not Even Human. And Not Quite Dead. And not nearly as nice as he seemed.)
- Also reaches the level of narm, as she sorta uses quite a few martial arts moves.
- In "The Harvest", Xander is holding a stake to his friend's now-dead heart. Vampire!Jessie taunts Xander that he can't do it, only to die when a fleeing bystander bumps into them, forcing Jessie onto the stake.
- This trope occurs in BBC's Robin Hood, episode "Bad Blood," where Gisborne and Isabella's mother Ghislaine literally dies by falling on the floor.
- Kung Fu:
- A sheriff dies instantly of bumping his head on a stove after being shoved by a black Brazilian (not good, killing white law officers in those days.)
- A bounty hunter dies instantly after falling from a horse. Caine, on the other hand, survives two instances of rifle bullets glancing off his head! I guess Chinese had thicker skulls than Caucasians back then.
- In Misfits, Simon was just trying to push Sally off of him.
- In Neighbours, Drew Kirk died after falling off a bucking horse. Even though he was still conscious and talking wheen he was found a moment later, he ended up with severe liver damage and was dead and buried by the end of the next episode.
- In Alias, Nadia died when her father pushed her out of his way (while scrambling to save a Rambaldi artifact from a fire) and knocked her to the ground, killing her. Granted, the glass coffee table she passed through en route to the floor may have helped...
- In the Veronica Mars episode "Kanes and Abel's", Veronica imagines each of her major suspects killing Lilly; in her vision of how Jake Kane may have killed her, he pushes out of the way while trying to attack her boyfriend Weevil. As she falls she hits her head on a table, killing her.
- In Person of Interest, Reese's Lost Lenore Jessica died because a rough push from her abusive husband sent her head into the edge of a marble countertop.
- The pilot episode of Hamish Macbeth has a man killed this way by his own mother; she'd witnessed him taking a swing for his pregnant wife and shoved him away from her, but he tripped over something and his head slammed into the corner of a packing case.
- In "Mr. Monk and the Dog," a man shoves his mistress, and her head hits the kitchen counter on the way down. She doesn't go out like a light, though; she staggers to her feet and dials 911 before losing consciousness.
- In the premiere of Banshee Lucas is in a bar when two toughs try to rob the place and run into the new sheriff. In the ensuing fight the sheriff is shot through his hand and dies from a gut shot, Lucas stabs one of the toughs with a steak knife and the second tough dies when he is knocked over, falls down and his head hits an anvil that is in the bar as decoration.
- The hapless Tyrone Dodds in Coronation Street is falsely imprisoned on a charge of attempted murder after his abusive wife, Kirsty, falls headfirst down the stairs during an argument.
- Inspector George Gently:
- This is what causes China's death in "Goodbye China".
- This is how the Body of the Week in "Blue for Bluebird" was killed; falling backwards and hitting her head on the edge of a table.
- Whodunnit? (UK): In "Teddy Bears Picnic", the Victim of the Week interrupts a thief stealing her jewelery. They struggle and she is pushed over, hitting her head on the dresser and dying.
- New Tricks:
- The Body of the Week in "In Vino Veritas" hit his head on some barrels during a struggle with his killer. Another person later staged a Fiery Cover Up, which further muddied the way in which he died.
- The 'falling down the stairs' version happens in "The Queen's Speech".
- In "Into the Woods", a forceful shove during an argument leads to the Victim of the Week being impaled on a sharp tree branch.
- CSI: Cyber: In "L0m1s", the bystander the hackers were trying to keep away from the recharging station gets in a struggles with one of the hackers, falls and hits her head on a bathroom stall. She is knocked unconscious and the hackers leave her, expecting someone to find her. No one does and she dies.
- Midsomer Murders: The first Victim of the Week in "Death in Disguise" dies after a Staircase Tumble.
- The Doctor Blake Mysteries: The Victim of the Week in "By the Southern Cross" is revealed to have died after getting shoved backwards during a fight with one of his 'friends'. He fall backwards and struck his head on a pile of bricks.
- NCIS: New Orleans: The Victim of the Week in "Second Chances" is killed when he is tossed into a pit on a construction site, where he is Impaled with Extreme Prejudice on the rebar at the bottom of the pit.
- The Coroner: The Victim of the Week in "The Salcombe Selkie" dies when he hits his head after being shoved during a struggle with his killer.
- Murder, She Wrote: The Victim of the Week in "Hannigan's Wake" is killed when she is shoved backwards into a glass fronted cabinet during a struggle with her killer.
- Murdoch Mysteries: One of the married bank robbers in "Raised on Robbery" is killed this way: She slips and falls down the stairs outside the bank while trying to back away from Murdoch and Brackenreid with her pram.note At some point in the tumble she either breaks her neck or fractures her skull.
- Motive: In "Abandoned", the killer shoves the Victim of the Week during a heated argument and the victim falls and strikes her head on a kitchen bench. Thinking the victim is dead, the killer panics. However, the victim is still alive. Or, she was, until the killer decided to stage a Fiery Cover Up.
- Father Brown: A woman takes a fatal Staircase Tumble after being pushed ten years before the events of "The Smallest of Things".
- Law & Order: Criminal Intent: One of Victims of the Week in in "To the Boy in the Blue Knit Cap" dies after he hits his head on a pinball machine during a fight with his brother.
- "The Killing of Georgie" by Rod Stewart.
- A possible (but very ignominious) end to any player in Blood Bowl who pushes his/her luck when going for it (moving more than your movement stat in a round). Since any fall can break armour and any armour break can lead to some form of permanent injury, some unlucky rolls can lead to moving too fast leading to death.
- Rolemaster and it's cut down cousin Middle-earth Role Playing have a success or failure chart for "moving maneuvers" - any maneuver your character attempts that falls outside normal everyday activity. A complete failure requires a roll on the failure table where it was remotely possible to die instantly if you were attempting an "absurd" maneuver and rolled extremely badly.
- In BattleTech, this is a surprisingly common trope. If a Battlemech falls down, there's a slim chance it will land on its head and the cockpit (and possibly the pilot inside) could be damaged or destroyed. And whether or not that happens, the Mechwarrior has to make an additional Piloting roll to see if they take damage from being jostled about in general (the dreaded "seatbelt check"). And any time a mech falls over, it takes damage based on its mass, which might finish it off if the mech is in bad enough shape. Some mechs are particularly prone to this trope, like the Stalker II, which combines Hardened Armor and a Torso-Mounted Cockpit, both of which apply a penalty to the dice roll needed to avoid falling or successfully stand back up after a fall. If the optional rules for Quirks are in play, the Stalker II is in even worse shape, as its No/Minimal Arms quirk (for having nothing but stubby missile pods for arms) gives it a further penalty.
- Harry Beaton in the musical Brigadoon dies this way while trying to run away from Brigadoon. (If he had succeeded, he would have doomed the entire town.) It is revealed later that his fatal fall happened when Jeff accidentally tripped him up.
- In The Movie, Jeff gets incredibly drunk, mistakes Harry in a tree for a pheasant, and shoots him.
- Ace Attorney
- Phoenix Wright is accused of pushing a victim toward a broken (live) electricity cable in the first case of Trials and Tribulations. Yes, him. This is before he became a lawyer. Mia Fey is his lawyer and saves him from death row, which sparks his decision to become a lawyer.
- In the third case of the first game, the victim actually died by falling off the steps of a studio trailer... onto a spiky fence surrounding a flowerbed, ouch. And ironically, said victim had himself killed someone accidentally that way five years previously.
- The first case of Justice for All has the victim being pushed from a 9-foot-high walkway in a park causing him to snap his neck. This case incidentally, subverts the reason why this trope is usually invoked: The killer in this case had a extremely unsympathetic motive, namely that the victim was murdered simply for being a cop.
- The victim in the second case of the first Investigations game was pushed over a staircase railing and died of impact with the cargo hold floor. Unusually, not a broken neck.
- In Shadowgate, if your torch ever went out, you would automatically "trip over something" and die.
- This is how Josh dies in Silent Hill: Homecoming.
- In Nethack, you may trip going down the dungeon stairs when over-encumbered. Do this with 1 HP left, and the damage from falling down the stairs kills you. Do this while carrying a cockatrice corpse, and you fall on the corpse and turn to stone.
- You can also hurt yourself (sometimes fatally) by slipping while trying to ride a mount. The Knight character class starts with a saddled pony, so it's possible to get killed in this fashion on the very first turn.
- This walkthough video of Hitman: Blood Money - two targets are killed by being thrown over a three foot stair railing. There is no additional drop - just flipping the guys over the railing.
- This is the cleanest method of execution you can pull off, and is usually justified by there being water or ice behind the railings, so they drown.
- In the white chamber, this was how Sarah's first victim died. That one was an accident; the rest, not so much.
- It's possible to die in Dungeon Crawl by falling down the stairs if you attempt to do so while confused.
- Sometimes in the Grand Theft Auto games, in particular Grand Theft Auto: Vice City you can take damage and even die from falling off/tripping on the curb, more likely so if you have an adrenaline powerup.
- In Resident Evil 4, an axe-wielding villager lunges at Leon, who counters by throwing him against a wall. The villager lands awkwardly and breaks his neck.
- In Blood Bowl, a player that tries to run extra distance stands a chance of falling. If they fall, they have a chance of inuring themselves. If they injure themselves, it can end up being a critical injury. A couple of these critical injuries are fatal. That's right, a particularly unlucky Blood Sport player can end up dead on a perfectly flat playing field with nobody anywhere near them.
- In World of Warcraft, if your health is already low from combat or a fall from a greater height, it's possible to die from a short fall, such as jumping down a flight of stairs.
- According to Atelier Iris 3, this is how Pamela became a ghost: She was trying to get something out of an upper cabinet shelf, fell off the stool she was standing on, and broke her neck.
- Of all the many, many ways to die in King's Quest V, one of them includes falling off a flight of stairs that's barely as tall as you are (Graham even does his "falling to his death" scream, only to get cut off when he hits the ground.)
- In MechWarrior 3, the Humongous Mecha are instantly destroyed if they fall over from leg damage. The mechanic was heavy reworked in all subsequent games due to the massive imbalance and subsequent Gameplay Derailment, resulting in leg damage only slowing down mechs unless both legs are destroyed, or a mech being ragdolled but still otherwise full functional in Mechwarrior Living Legends.
- In Stardew Valley, Shane's six-heart event has the player finding him fallen-down drunk at the edge of the cliffs, strongly considering ending his life there. Since he's too drunk to jump, he tells you he's just going to roll over until he falls.
- In Grand Theft Auto IV, Nico will stagger and fall over while drunk, causing him to take damage. If his health is low enough, he will actually die this way.
- Penny Arcade plays this one for laughs. Tycho accidentally kills his wife when he demonstrates a Splinter Cell move on her.
- In one Pv P storyline, Brent has a near-death experience after falling and hitting his head.
- In the webcomic Sins Venials, a character dies this way, at most two strips after her introduction.
- In Girl Genius, a character from the circus dies this way when attacked by the Giant Enemy Crab.
- In Erfworld, a drop from any height has the potential to injure, incapacitate, or kill if one does not land properly. At one point a character considers suicide by jumping down a couple of inches to trigger fall damage.
- The island in which V3's Survival of the Fittest's competition seems to be inhabited by some rather malevolent rocks. Brenden Bedard is killed when he trips and hits his head on a rock, Andy Walker falls into a river, hits his head on a rock, and drowns, and Abel Williams is accidentally tripped by his traveling companion and gets a rock to the face for it. This trope is also played with when Kathy Holden playfully pushes her friend Becky Holt onto the ground... and into a bear trap.
- It happens a fair bit during V4 as well. Edward Belmont hits his head on a rock after being whacked with a stick by Rachel Gettys. Jake Crimson suffers a slow death, having struck his head on a cinder block when pushed over by Garry Villette, and Timothy Skula dies when he hits his head on a rock after being shot by Ilario Fiametta.
- Invoked in a Creepypasta. A man is playing with his kids and pretends to bonk his head. It amuses his daughter and petrifies his son, who turns out to be the reincarnatiin of a boy who died similarly.
- The sad thing is that in Real Life, death doesn't have to be dramatic, and all you need to do is trip and roll a one on your reflex save.
- Babies actually are built to be more resistant to head injuries (compared to adults) because the human race would not be around if this trope was in full play at that age.
- It ought to be noted, too, that in fact the trope description is only particularly accurate where first-rate modern medical aid is obtained promptly—and there's still a chance that you could fall down the stairs in a modern hospital, landing right outside the neurology department, and still end up in the morgue from the injuries. See Hard Head and Tap on the Head for details, but basically? Every so often, the only way the injury gets detected at all is when the medical examiner sectionsnote the brain during the post-mortem.
- A fairly common way to die in a regular fistfight it from hitting your head on the ground after falling.
- While still being a school teacher, philosopher Martin Heidegger accidentally killed a pupil by a single slap on the cheek. It's unclear what actually caused it, but under certain conditions even minimal force can be lethal.
- Dr. Robert Atkins, of diet fame, died slipping on ice and smacking his head.
- Actress Natasha Richardson fell while skiing and hit her head, and though she was up and lucid shortly thereafter, the injury eventually killed her.
- Actor William Holden died after slipping on a throw rug in his home while drunk and gashing his forehead on a bedside table; he remained conscious for half an hour, and had he realised the severity of his injury, he might have been able to summon medical help in time.
- Kurt Vonnegut died of brain injuries several weeks after falling and hitting his head.
- South West Trains in the UK recently started a safety poster campaign: "What went through the mind of the person who slipped on the platform? The floor."
- This is pretty much exactly what happened to Scottish First Minister Donald Dewar.
- Actor Gary Coleman died this way after falling down a set of stairs, hitting his head, and going into seizures afterwards.
- This is how Harry Carry, the radio announcer died, after hitting his head on a table.
- This may have happened to King Tut.
- A certain Darwin Award winner died from slipping on his own feces in jail.
- Averted with insects. Their carapaces are sturdy enough, and their size small enough, that neither the fall nor the sudden stop at the end will kill them. Their light weight means that the impact force from hitting at terminal velocity is less than the fracture rating of their exoskeleton. Conversely, extremely large animals such as elephants can easily be crippled and/or killed by a short fall due to the impact force of their large mass.
- Most small creatures that have a sufficiently high ratio of cross-sectional area to mass will be mostly unaffected by long falls. Rats and mice might be dazed; pretty much anything smaller has to be trying to die to be injured by a fall. Larger animals can take advantage of this law of nature too, from gliding lizards widening their body to avoid splatting on the forest floor, to humans using parachutes.
- The cause of death for Manga author Kaoru Tada, of Aishite Night and Itazura Na Kiss fame. She and her family were moving into a new home when Mrs. Tada slipped, hit her head on a granite table, and her severe brain injuries left her in a coma. She died three weeks later.
- Ian Tomlinson died this way during the G20 protests in London (which he took no part in) after being pushed to the ground (for no reason whatsoever) by PC Simon Harwood. Most people would have survived, but Tomlinson had severe liver problems thanks to a lifetime of heavy drinking, and the fall ruptured his liver and killed him. Harwood was found not guilty in court but dismissed from the police for gross misconduct.
- Voice actor Tsuyoshi Takishita, usually known as his role of Sima Yi in Dynasty Warriors series died this way in March 10th 2013, slipping and falling while on the way home and succumbing to his injuries.
- Also happens to another voice actor, Kaneto Shiozawa, after he fell down from the stairs of his house. He initially showed no sign of serious injuries, but he later fell unconscious and died the next day of a cerebral contusion.
- Although a bit bigger than a normal fall, Caleb Moore had a "slow bleed" variety with his snowmobile crash at the X Games, so that he walked away from the crash that killed him.
- Marshal Alexandre Berthier, Napoleon's chief of staff, fell from a third-story window in the Bavarian town of Bamberg. Historians are still divided as to whether it was an accident or suicide (a more outlandish possibility is that he was murdered by members of a secret society).
- Happened to the Chilean reporter, writer and radio personality Santiago "Tito" Mundt in 1971. He had gone out for lunch with some co-workers and they went to have a smoke on a building's terrace, Mundt suddenly slipped and tipped over the safety barrier, then his falling body hit a windowshill, and ended up crashing on a taxi that had stopped on the streets to pick up a passenger...
- A very real danger for people with Narcolepsy, a neurological disorder where the brain fails to regulate the sleep/wake cycle properly.