The number of elderly Muslims in Denmark are growing steadily, and an increasing proportion of these end up dying and being buried in this country. The paper analyzes Islam’s impact on the death and burial of Muslims in Denmark: First, the ideas about life and death in Islam and the rituals associated with death and burial are analyzed. These principles are then, together with existing, empirical studies on death and Muslims dying in the West, integrated into a model of spiritual needs based on situational, moral, and religious building blocks. The paper concludes that differences in Islamic traditions and rituals combined with various types of spiritual needs of dying Muslims should make nurses and caregivers aware that the normative descriptions of how to treat dying and deceased Muslims, all too common in religious, Muslim discourse, do not necessarily reflect the actual needs of dying Muslims and their relatives. Instead, the family of the dying or deceased Muslim should be seen as the most important player and decision maker.