Loss due to cancer could predispose surviving spouses or partners to a variety of negative outcomes. Although a terminal prognosis may provide opportunities to prepare for the loss, existing evidence is inconclusive as to whether death expectedness buffers potentially negative bereavement outcomes. Using data from the Living After Loss study, we examined longitudinally outcomes of bereaved individuals whose spouses/partners died from cancer (n = 112) versus other causes (n = 213) while accounting for death expectedness. While most of the cancer deaths were expected, more than half of the non-cancer deaths were not. The lowest levels of depression, grief, and loneliness over time were among those whose spouses/partners died expectedly from causes other than cancer. Cancer-bereavement was as equally distressing as any unexpected death. Future efforts should focus on the mechanisms underlying these outcomes and develop effective and early interventions to those in greatest need.