In this blog, Natalie Govind discusses the lack of focus on end-of-life considerations in stroke cases despite a significant risk of mortality within the first month post-stroke. A call to action is made to initiate palliative care early, emphasizing the importance of communication and proactive intervention to improve the quality of life for stroke survivors and their families, challenging the prevailing uncertainty and advocating for more targeted research to enhance care strategies and outcomes in this context.