People can sometimes know when they are dying, especially those with terminal illnesses or in the final stages of life. Many individuals develop an awareness or intuition that their time is near, often expressed by feelings that their body is shutting down or by sensing a change in their state. Some report specific sensations or experiences, such as a peaceful feeling or a slowing or speeding up of time, and some even sense their separation from their body during near-death states. However, awareness varies widely; some people are in denial or unaware until death occurs. Physical signs like changes in breathing and consciousness often accompany these feelings, signaling the body's decline near death. While many do have some sense of impending death, it is difficult to predict exact timing, and experiences differ greatly among individuals.