Buffy the Vampire Slayer
Season 2, Episode 18
Air date March 3, 1998
Written by Rob Des Hotel
Dean Batali
Directed by Deran Sarafian
Episode Guide
"I Only Have Eyes for You"
Sarah Michelle Gellar Buffy
Nicholas Brendon Xander
Alyson Hannigan Willow
Charisma Carpenter Cordelia
David Boreanaz Angelus
Anthony Stewart Head Giles
Guest Starring
Kristine Sutherland Joyce
Richard Herd Dr. Backer
Willie Garson Security Guard
Andrew Ducote Ryan
Juanita Jennings Dr. Wilkinson
Co Starring
Robert Munic Intern
Mimi Paley Little Buffy
Denise Johnson Celia
James Jude Courtney Der Kindestod
"Killed by Death" is the eighteenth episode of season two of the television show Buffy the Vampire Slayer, and the thirtieth episode in the series. Written by Rob Des Hotel and Dean Batali, and directed by Deran Sarafian, it was originally broadcast on March 3, 1998 on The WB network.

After a flu lands Buffy in the hospital, she rescues fevered patients from Der Kindestod, a demon that sucks the life out of hospitalized children.


A flu-stricken Buffy, reluctant to stay at home, patrols the cemetery. Xander, Willow and Cordelia surprise her and she nearly stakes Xander. They try to convince her to go home, but the damage that Angelus has done so far continues to fuel her fire. Angelus appears behind her and attacks Cordelia. Buffy and Angelus fight until he pins Buffy down. Willow throws a coat over his head, and he is turned away by the three's crosses. Buffy faints and the gang rush her to the hospital. After being stabilized, she is admitted to the hospital for a few days against her will. Her mother reveals that Buffy has always hated hospitals ever since her cousin died in one while Buffy was in the room.

Joyce brings up the topic of Ms. Calendar's death to Giles, which he would much rather forget. Meanwhile, Xander, Willow, and Cordelia wait to protect a very sick Buffy from the harms of Angelus. That night, Buffy has a dream where she sees a small boy standing in her doorway. He leaves. A strange-looking man, not quite human, follows after him, glancing into Buffy's room as he goes. As she follows the man down the hall, she has flashbacks of her cousin's time spent in the hospital. She awakes suddenly in the middle of the night and takes a walk down the hall. Two men exit the children's ward with a child who had died that night. At the door she overhears a conversation between Dr. Backer and Dr. Wilkinson about the doctors' experimental treatments on the children. As she begins to leave, she encounters two children that tell her about "Death": he comes at night, and the grown-ups can't see him.

That night, Angelus comes to visit Buffy but Xander stands guard. They stand face to face and exchange many harsh words until Angelus finally leaves, discouraged by the fact that he may not make it to Buffy's room with all the security. The next morning Buffy's friends visit bearing gifts to cheer her up — all but Cordelia, who claims she was "out of the loop on gifts". They all take a walk and Buffy tells them all about the conversation she overheard. Dr. Backer was trying experimental treatments on the kids in the children's ward, and Dr. Wilkinson doesn't agree with him. Since forced to stay at the hospital, she plans to find out what the doctor is up to, and Xander volunteers everyone's help. Cordelia and Xander sneak into the hospital's record room and search for records on the girl that died that night. Meanwhile, Giles and Willow search for information at the school library. While looking through the records, Cordelia is caught by the security guard. She flirts with him until Xander can escape with the records, then leaves herself. Xander expresses his feelings towards her flirting with him and Cordelia expresses her anger about Xander's behavior around Buffy. She leaves to take the records to Giles, and Xander "watches her back" as she goes.

Buffy takes a walk and finds the little boy. He is drawing a picture of the man she saw in her dream. Willow digs up information on Dr. Backer at the library with Giles, and she finds that he has a large past of experimental treatments and investigations into his practices. Meanwhile, Dr. Backer is working on trying to cure the children's illnesses. After finding a solution that he thinks will work, he takes it to the children's ward to try it out. Before he can do anything, the invisible creature attacks him, slashing him up. Buffy tries to stop him but is thrown aside, unable to see the creature.

The next morning Buffy informs everyone that Dr. Backer is not the suspect, and shows them the drawing that Ryan drew of the creature. Joyce walks in with the good news that Buffy can go home, but Buffy insists she should stay a little longer. Confused, her mother leaves to tell the doctor. Xander, Giles, and Cordelia leave her alone and come up with a plan. Giles and Cordelia head back to the library while Xander stands guard in case Angelus shows up. At the library, after thoroughly annoying Giles, Cordelia finds a picture of the monster on the cover of a book. They later find out that it is called Der Kindestod. Cordelia squeamishly describes what is going on to Buffy over the phone, and Giles takes over, telling her how it sucks the life out of a child. Buffy flashes back to her time at the hospital as a child again, and she sees her cousin freaking out while she helplessly watches. Buffy goes silent over the phone and after a few moments, Willow takes it from her and hangs up. Buffy then realizes that Der Kindestod was the killer of her cousin.

The two head to Dr. Backer's office in search of answers. They find out that Dr. Backer was giving the children injections of the disease they already have in order to inoculate them. Dr. Backer was trying to do good after all. Buffy realizes that only sick people can see the demon, so decides to infect her self with the vials of disease the doctor was using on the children. Willow stops her, warning her that the vials are 100% pure and would kill Buffy instantly if she drinks them. Willow then dilutes the disease in some water so Buffy can drink it "safely". Buffy's fever rushes to a near 107 degrees as she stumbles to the children’s ward. She finds all the children are gone. They have headed down to the basement in hopes of escaping from Der Kindestod. After a few moments, Buffy sees Der Kindestod in the children's room and watches as he heads down to the basement. The door is locked so Buffy and Willow rush to find access to the basement. Dr. Wilkinson tries to stop them, but Buffy shoves her aside. When security guards stop the two, Willow takes on the blame as Buffy makes her escape.

Buffy works her way to Xander, and he helps her down to the basement. The children wait quietly in hopes of not being found, but then Der Kindestod picks up Ryan. He screams, along with all the other children. Buffy arrives just in time and fights off Der Kindestod. Just as he is about to kill her, she snaps his neck, and leaves while leaning on Xander. Buffy finishes her rehabilitation at home with her friends. Her mother reluctantly waits on them all. Joyce then hands Buffy a letter from Ryan, which is revealed to be a drawing of her hailing over a dead Kindestod.


  • Willow’s fear of frogs is brought up when she pretends to have frogs crawling over her to permit Buffy to escape.
  • The book on the cover of which Cordelia finds the image of Der Kindestod also contains the passage on an unnamed demon belonging to the Brotherhood of Seven that Buffy and Sid defeated in "The Puppet Show". 
  • This is the first of the three times Buffy is hospitalized in Sunnydale. The others being "Graduation Day, Part Two" and "Villains".
  • Ryan is not the first young boy to peer at Buffy in the shadows. In "Nightmares", Buffy sees Billy, a local boy in a coma, walking around school.



Organizations and titlesEdit



Weapons and objectsEdit

Death countEdit

  • Celia, lifeforce drained by Der Kindestod (in flashback).
  • Tina, lifeforce inhaled by Der Kindestod (only mentioned).
  • Stanley Backer, killed by Der Kindestod.
  • Der Kindestod, neck snapped by Buffy.

Behind the scenesEdit


  • According to Joss Whedon, Der Kindestod was “based on a ‘this thing creeped me out as a kid’ thing,” as with many of the monsters on Buffy the Vampire Slayer. In general, the monsters were suggested by the vague bogeyman figures that bedevil many children.[1]
  • This script was originally planned as a first season episode, and then an episode before Angel became evil.[citation needed]

Pop culture referencesEdit

  • After Buffy says the kids called the monster they saw "Death", Xander warned her not to play chess with him if he asks her to, because he’s a whiz at it. This is a reference to the movie The Seventh Seal, in which a medieval knight plays chess with death for his life.
  • Buffy pretends to be Power Girl as a child, a comic superhero who first appeared in 1976.
  • Xander says: "Buffy, this is not the time to challenge Angel for the Ultimate Fighting Championship," referring to the sports organization that has been staging MMA fights since 1993.
  • Cordelia comments on the noses of actress Gwyneth Paltrow and the toy Mr. Potato Head.

Goofs, bloopers & continuity errorsEdit

  • The phone that Giles takes Joyce to when Buffy falls asleep in the hospital is unplugged/has no cord, with a visible empty jack on the lower left side of the phone.


International titlesEdit

  • Finnish: "Kuolema Kierroksella" (Death on a round)
  • French: "Réminiscence" (Recollection)
  • German: "Der unsichtbare Tod" (The invisible Death)


  • Samples of this episode’s score is used as the background music in the Buffy Season 2 DVD collection. The sound of Der Kindestod gasping is even heard in the episode menus.


Behind the scenesEdit



Cordelia - “So, this isn’t you being afraid of hospitals ‘cause your friend died and you wanna conjure up a monster that you can fight so you can save everybody and not feel so helpless?”
Giles - “Cordelia, have you ever actually heard of tact?”
Cordelia - “Tact is just not saying true stuff. I’ll pass.”
Xander - “Do you think [Buffy]’s gonna be okay in here?”
Cordelia - “I don’t know, Lysette got her nose done here, and she came in looking for the Gwyneth Paltrow, and it looked more like the Mr. Potato Head.”
Xander - “Cordy...”
Willow - “Buffy’s not here for cosmetic surgery.”
Cordelia - “No, but while she’s in here, she might as well get that thing done.”
Cordelia - “You know, that thing on her face? You know that thing.”
Willow - “Do you think Angel will attack Buffy in here?”
Xander - “He can come in, it’s a public building.”
Willow - “That’s true.”
Cordelia - “Am I the only one that’s noticed that thing?”
Buffy - “Homework!”
Willow - “It’s my way of saying ‘get well soon’.”
Buffy - “You know, chocolate says that even better.”
Willow - “I did all your assignments. All you have to do is sign your name.”
Buffy - “Chocolate means nothing to me.”
Xander - “Flowers for milady.”
Buffy - “I think they call those balloons.”
Xander - “Yeah, stick them in water, maybe they’ll grow.”
Cordelia - “What does this do?”
Giles - “Uh, it, uh, extracts vital organs to replenish its own mutating cells.”
Cordelia - “Wow! What does this one do?”
Giles - “Um, it elongates its mouth to, uh, engulf its victim’s head with its incisors.”
Cordelia - “Ouch. Wait, what does this one do?”
Giles - “It asks endless questions of those with whom it’s supposed to be working so that nothing is getting done.”
Cordelia - “Boy, there’s a demon for everything.”


  1. Christopher Golden, Stephen R. Bissette, and Thomas E. Sniegoski. "The Monster Book". New York: Pocket Books, 2000.
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