‘How to kill nearly everything’ considers the proposed causes of mass extinctions, often called the kill mechanisms. An almost bewildering array of ideas have been put forward as likely bringers of death, but most of the debates have concentrated on just a few culprits, notably volcanism and meteorite impact, because their timing is closely coincidental with the extinctions. However, it is important to note that while they may be the ultimate cause of a crisis, it is their consequences that likely lead to proximate (or direct) causes of extinction. The main causes discussed are large igneous provinces, hyperthermals, ocean anoxia, ocean acidification, ozone depletion, ice ages, sea-level change, and meteorite and comet impacts.