On October 28, 2023, the world mourned the loss of Matthew Perry, the beloved actor best known for his role as Chandler Bing on Friends. Perry was found unresponsive in the hot tub of his Los Angeles home. An autopsy later revealed that he died due to the acute effects of ketamine, with other contributing factors including buprenorphine (a medication used to treat opioid addiction), drowning, and coronary artery disease. His sudden passing at the age of 54 left fans, friends, and the entertainment industry in shock.
Cause of Death and Autopsy Findings

The official report from the Los Angeles County Medical Examiner’s Office confirmed that Perry’s death was accidental. The primary cause was acute ketamine toxicity, meaning the drug had reached dangerously high levels in his system. Ketamine, often used as an anesthetic and a treatment for depression, can have serious side effects, including respiratory issues and heart complications.
In addition to ketamine, buprenorphine was found in his system. This medication is commonly prescribed to help people recovering from opioid addiction, a struggle Perry had been open about throughout his life. While buprenorphine is generally considered safe, its combination with other substances may have contributed to his death.
Coronary artery disease, which involves the narrowing of blood vessels that supply the heart, was another factor. The presence of this condition suggests that Perry may have been at a higher risk for heart-related complications. Drowning was also listed as a contributing cause, indicating that the effects of ketamine may have impaired his ability to stay conscious while in the water.
Matthew Perry’s Battle with Addiction

Perry’s struggles with substance abuse were no secret. He spoke candidly about his long battle with alcohol and opioid addiction, which began during his time on Friends. At the height of his addiction, he was taking up to 55 Vicodin pills a day and weighed as little as 128 pounds.
In his 2022 memoir, Friends, Lovers, and the Big Terrible Thing, Perry detailed his near-death experiences, including a 2018 incident in which his colon burst due to opioid abuse, leading to a two-week coma and multiple surgeries. Despite these challenges, he remained committed to recovery, often using his own experiences to help others battling addiction.
A Legacy of Laughter and Advocacy

Beyond his personal struggles, Perry was widely loved for his comedic talent and ability to bring laughter to millions. His role as Chandler Bing made him a household name, and his sharp wit and impeccable timing helped cement Friends as one of the most iconic sitcoms of all time.
Outside of acting, Perry dedicated much of his later years to helping those suffering from addiction. He turned his Malibu home into a sober living facility and worked with various organizations to support individuals in recovery. His passion for advocacy demonstrated his commitment to ensuring that others did not have to go through the same struggles alone.
Remembering Matthew Perry

News of Perry’s passing led to an outpouring of tributes from fans and celebrities alike. His Friends co-stars—Jennifer Aniston, Courteney Cox, Lisa Kudrow, Matt LeBlanc, and David Schwimmer—expressed their deep sorrow, remembering him as a kind, funny, and generous friend.
The Friends cast released a joint statement, saying, “We are all so utterly devastated by the loss of Matthew. We were more than just castmates. We are a family. There is so much to say, but for now, we will take a moment to grieve and process this unfathomable loss.”
Fans around the world also paid tribute, sharing their favorite Chandler Bing moments and reflecting on how Perry’s humor and honesty had touched their lives.
A Final Goodbye
Matthew Perry’s passing serves as a heartbreaking reminder of the complexities of addiction and the ongoing struggles many face even after seeking treatment. While his life was marked by both immense success and personal battles, his legacy remains one of laughter, resilience, and compassion.
Though he is gone, his impact on television, comedy, and addiction awareness will never be forgotten. As his Friends character Chandler Bing would say, “Could he BE any more missed?”