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Liam Payne’s Cause of Death: What the Autopsy and Investigation Found

Liam Payne’s autopsy attributed his death to injuries and bleeding caused by a fall from a Buenos Aires hotel balcony. Later toxicology and court updates added findings without establishing that one substance caused the fall.
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Liam Payne died from multiple traumatic injuries and internal and external bleeding caused by a fall from a third-floor hotel balcony in Buenos Aires on October 16, 2024. The preliminary autopsy findings were reported the following day; later toxicology findings and court proceedings added detail but did not establish that one substance alone caused the fall.

What caused Liam Payne’s death?

The Argentine prosecutor’s account says the autopsy concluded that Payne died from multiple trauma and internal and external hemorrhage resulting from the fall. The preliminary autopsy report, as covered by ABC News on October 17, 2024, described fatal head injuries and 25 injuries attributed to the fall. It also reported no signs of a fight.

Payne fell from the balcony of room 310 on the third floor of Casa Sur Palermo in Buenos Aires on October 16, 2024. The medical finding identifies the fall-related trauma and bleeding as the cause of death.

What did the toxicology findings show?

On October 17, reporting on the preliminary autopsy said further toxicology and other examinations were still pending. In a later account, Argentina’s Ministerio Público Fiscal reported alcohol at up to 2.7 grams per liter of blood, along with cocaine metabolites, cocaethylene and sertraline.

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These are reported toxicology findings. The prosecutor’s summary does not say that any one of the substances, by itself, caused Payne to fall. Detection and the medical cause of death are distinct findings; the cited account does not establish a definitive substance-specific explanation for the fall.

How did the investigation and court proceedings develop?

February 2025: appellate ruling

According to the prosecutor’s account of the February 2025 appellate decision, proceedings and pretrial detention were confirmed for two people accused of paid drug supply. The court overturned culpable-homicide proceedings against three other people. These were procedural decisions, not convictions of the two defendants.

June 2025: case referred for trial

A June 2025 prosecutor update said the two accused drug suppliers would face trial. It also reported that the national oral court declared itself incompetent and referred the case to the Buenos Aires City judicial system. The available updates do not establish the final outcome after that referral.

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What the findings do—and do not—establish

  • Medical cause: the autopsy conclusion was multiple trauma and internal and external bleeding resulting from the fall.
  • Toxicology: the later official account listed alcohol, cocaine metabolites, cocaethylene and sertraline, but did not attribute the fall to one substance alone.
  • Criminal proceedings: the reports describe accusations, appellate rulings and a trial referral. They do not establish convictions or the final disposition of the transferred case.

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