Quadri SZ, et al. - This research explored the benefit of palliative care referral for severe stroke patients on end-of-life care pathways (EOLCP). During this study, palliative care referral and EOLCP were initiated in less than 50% of patients. This underscored the notable changes in clinical care. A necessity arose for promoting the awareness of advance care planning (ACP), especially in patients with prior stroke or significant co-morbidities. This could aid in reducing potentially futile invasive investigations and treatment.