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Death investigator working for a Coroner’s Office here. I can’t speak for other offices only Dr Seuss sam I am shirtn, but it’s common for it to take up to three months to determine cause and manner of death in some situations. The autopsy itself is a short process and only takes 1-2 hours, but lab testing (blood work and toxicology) can take a considerable amount of time (several weeks). In situations where you wouldn’t think lab testing is really necessary, like when the cause of death can be physically determined by the pathologist during an autopsy, a doctor will still wait until they have those results to name the cause. They then have to consult literature regarding their findings (if necessary), consult other pathologists (if necessary), and write a full autopsy report. In short, all factors have to be considered and all findings have to be thoroughly documented, which can take a while.