Official records from the New York City medical examiner, Department of Justice investigations, and FBI reviews have consistently ruled Jeffrey Epstein’s 2019 death in federal custody a suicide by hanging, with recent 2026 file releases including autopsy photos, prison documentation, and a New York Times examination reinforcing institutional lapses rather than any alternative outcome. No verified sightings, DNA evidence, or official statements have emerged in the intervening years to support claims of survival. Trader consensus at 97.7% on “No” reflects this long-standing evidentiary record and the short window remaining before 2027. Conceivable shifts could stem only from an authenticated public appearance, conclusive forensic reversal, or unprecedented government disclosure, none of which have materialized despite ongoing congressional scrutiny of related documents.