Death by Sexual Misadventure Official cause of death: hanging and cardiac arrest. Epstein was a sex pervert. You know he was six feet tall - he couldn't hang himself from a bed frame. Unless maybe he was in an act of auto-erotic asphyxiation.  I bet a dollar to donuts Epstein was choking the chicken and himself, "overexerted" himself, suffered a heart attack, started screaming in terror at the realization that the demons were coming for his eternal soul while the guards tried to get him to calm down. He saw them. He saw them coming for him.