The Final Thrust: 20 People Who Died During Sex Image via nydailynews.com

A dude who enjoyed some messed up foreplay.

Cause of death: Foreplay
When it happened: July 2007
Where it happened: Grimsby, England

Simon Burley, a 38-year-old UK man, thought it would be stimulating to have his girlfriend Elizabeth Hallam pretend to be a Neo-Nazi hangman and hang him from a noose during foreplay. Their roleplaying sesh went horribly wrong after Hallam kicked away the chair he was standing on and discovered the knife he had provided her was too blunt to cut the noose. Paramedics were too late to save Burley. Can't say we feel totally sorry, though. That's some f**ked up foreplay!

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