Given the risks of mortality in patients with epilepsy beyond SUDEP, the study by Lowerison et al provides important information about overall mortality in patients with epilepsy, especially in relationship to level of specialized epilepsy care. This Canadian-based study used the Alberta Health Services administrative health data and the Comprehensive Calgary Epilepsy Programme Registry databases to evaluate 23 653 incident cases of epilepsy in adult patients 18 years or older. They used a validated administrative case definition to identify epilepsy cases and subsequently divided cases into 3 groups depending on level of care by exposure to a (1) non-neurologist, (2) neurologist, and (3) epileptologist. A total of 14 099 (60%) received care from a non-neurologist, 9554 (40%) received care by a neurologist, and 2054 (9%) received care by an epileptologist. Using the most recent published mortality rate of 5.7 deaths per 1000 person-years for Alberta, the standardized mortality ratio was 7.2 for the entire cohort, 9.4 for those unexposed to neurological care, 5.6 for those who received care by a neurologist, and 2.8 for those who received epileptologist care. Compared with those who did not receive neurological care, mortality rates were significantly lower among those who received care from neurologists and were lower still for those receiving care from an epileptologist.