Ol' Dirty Bastard (real name Russell Tyrone Jones) died on November 13, 2004, two days before his 36th birthday, at a recording studio in Manhattan. The official cause of death was an accidental drug overdose—a lethal combination of cocaine and the prescription opioid tramadol, which led to a heart attack. Witnesses reported that he had complained of chest pain and difficulty breathing before collapsing. His history of substance abuse and legal troubles with drugs was well-known, and despite court-mandated rehab attempts, drug use ultimately led to his untimely death.