This study evaluated autopsy findings in hypothermia-related deaths in Van Province (Turkey), a city near the Turkey–Iran border. Autopsy reports of 43 hypothermia fatalities were retrospectively reviewed. There were antemortem traumas in 16 cases (37.2%), cold erythema in 26 cases (60.5%), bloody discolouration in the synovial fluid in 11 cases (84.6%), and Wischnewski spots in 32 cases (74.4%).