Official records establish that Jeffrey Epstein died in federal custody in August 2019, with the New York chief medical examiner ruling the cause suicide by hanging, a determination later supported by Department of Justice inspector general and FBI reviews. Multiple releases of investigative files through 2026, including autopsy details and prison records, have reinforced this conclusion without producing evidence of survival or body substitution. Recent forensic re-examinations by independent pathologists question aspects of the suicide finding and highlight procedural lapses at the Metropolitan Correctional Center, yet these focus on the manner of death rather than any indication he remains alive. Trader consensus at 99% against confirmation before 2027 reflects the absence of verifiable sightings, DNA evidence, or official reversals in the intervening years. Extremely low-probability shifts could occur only through authenticated new documentation or direct confirmation meeting market criteria, though historical precedent and institutional records present substantial barriers to such outcomes.