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Pathologists of Lemmy : does most people (36y old, ...) dying from a single punch have a pre-existing condition ? Looks quite odd.
Not a pathologist but def if you got the right place anything can happen. As an anecdote, when I was growing up a fight started on the sidewalk I'm front of my house with some teens (not like big guys by any measure) and the guy threw one punch and the dude got knocked out. Hit him right in the temple and the dude died in the hospital after.