For 1979-1991, North Carolina (1990 population: 6,628,637) ranked second in number and ninth in rate of deaths associated with hypothermia (clinically defined as an unintentional lowering of the body temperature to < or = 95 F [< or = 35 C])). From November 1993 through March 1994, a total of 28 deaths attributed to hypothermia were reported to the Office of the Chief Medical Examiner in North Carolina. This report summarizes information about those deaths and describes specific findings for four deaths that reflect circumstances commonly associated with hypothermia.