Dear Editor, We read with interest, the publication by Costello and Fazzini,1 which reports a scoping review examining the attitudes and practices of intensive care unit (ICU) clinicians in relation to assisted dying. Assisted dying emphasises choice and autonomy, and knowledge of the legislative frameworks that underpin how assisted dying occurs across various jurisdictions is critical.2 Our greatest concern with this review is how the authors1 incorrectly describe assisted dying, and conflate assisted dying with ICU clinicians’ actions to shorten the dying process as part of withdrawing or withholding life-sustaining treatment. Assisted dying is fundamentally different because it is a person-led process.