This session was originally presented at NHPCO’s 2013 Virtual Conference ‘Loss, Grief and Bereavement, helping patients, families and communities’. Among combat Veterans memories of friends killed in battle often remain vivid and laced with emotion even after the passage of decades. Some who survive carry a sense of guilt which can impact not only the way they live but how they die as they approach the end of life. Some of the driving factors of survivor guilt are explored and ways of supporting these Veterans toward healing are explored.