Euthanasia and assisted dying by nation
The legality of euthanasia and assisted dying varies by nation on Micras. Practices range from passive euthanasia, the withdrawal of life-sustaining treatment at a patient's request, physician-assisted suicide, voluntary active euthanasia and state mandated euthanasia. This article summarizes the legal status of end-of-life practices across Micras nations.
Summary of legality by nation
| Nation | Passive euthanasia (withdrawal of treatment / DNR) | Physician-led euthanasia | Voluntary active euthanasia | Eligibility | Notes |
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 Aerla
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Terminally ill or permanently incapacitated patients. | Only passive euthanasia is lawful. A patient who is determined to be of sound mind is authorized to refuse or withdraw life-sustaining treatment. Physician-assisted suicide and active euthanasia are considered criminal offenses. |
 Anglien
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Terminally ill or permanently incapacitated patients | Only passive euthanasia is lawful. A competent patient, or an authorized proxy, may refuse or withdraw life-sustaining treatment. Physician-assisted suicide and active euthanasia remain criminal offences. |
 Benacian Union
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 Constancia
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Terminally ill, permanently incapacitated patients, or unbearable suffering | Passive euthanasia is lawful. A competent patient, or an authorized proxy, may refuse or withdraw life-sustaining treatment. Physician-assisted suicide and active euthanasia are lawful, when granted via Imperial Decree, Autokratorial Decree or by order of a court. Minors may qualify with parental or guardian consent. State Protection Authority may also grant permission. This authority was delegated via Autokratorial Decree. |
 Natopia
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Terminal illness or unbearable, incurable suffering; age 16+ | Passive euthanasia, physician-assisted suicide, and voluntary active euthanasia are all lawful under the imperial health system, subject to strict safeguards. Eligibility is limited to the terminally ill or those in unbearable, incurable suffering, and access requires confirmation by two independent physicians, a competent and repeated voluntary request, and a reflection period. Patients aged 16 and 17 may qualify with additional guardian involvement. |
 Nouvelle Alexandrie
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Terminally ill or permanently incapacitated patients | The right to refuse and withdraw treatment is recognized as part of personal liberty under the Proclamation of Punta Santiago. Physician-assisted suicide and active euthanasia are not lawful, though both have been the subject of recurring federal debate. |
Notes by nation
Aerla
Aerla permits only passive euthanasia. A patient who is deemed mentally competent may choose to decline or discontinue life-sustaining treatment. An authorized proxy may also choose to do so on behalf of an incapacitated patient. Both physician-assisted suicide and active euthanasia are both criminal offenses, chargeable as first-degree murder. Do-not-resuscitate orders are considered binding legal documents as proof of a patient's choice for passive euthanasia.
Legislation to legalize assisted dying has been proposed on numerous occasions, although none have ever progressed beyond committee review.
Anglien
Anglien permits passive euthanasia only. A competent patient may decline or discontinue life-sustaining treatment, and an authorised proxy may do so on behalf of an incapacitated patient. Physician-assisted suicide and voluntary active euthanasia are criminal offences. The established church's opposition has kept proposals to legalise assisted dying from advancing.
Natopia
Natopia permits the full range of end-of-life options under a regulated framework administered through the imperial health system. Passive euthanasia, including advance directives and do-not-resuscitate orders, is available to any competent patient. Physician-assisted suicide and voluntary active euthanasia are lawful for patients who are terminally ill or who suffer from an unbearable and incurable condition.
Access is governed by safeguards intended to confirm that the choice is free, informed, and settled. Two physicians must independently confirm the diagnosis and prognosis, one of whom is not involved in the patient's care. The patient must make a voluntary, competent, and repeated request, with a reflection period between the request and the act, and a psychiatric assessment where competence is in doubt. No request may be made by proxy on behalf of another person. Patients aged 16 and 17 may qualify, but only with the involvement of a parent or guardian and a heightened assessment of maturity. A conscience clause exempts any physician who declines to take part, and a national review body examines and documents every case after the fact.
Nouvelle Alexandrie
In Nouvelle Alexandrie, the right to refuse and to withdraw life-sustaining treatment is treated as an aspect of personal liberty protected by the Proclamation of Punta Santiago. Passive euthanasia is therefore lawful with patient consent or through an authorized proxy. Physician-assisted suicide and voluntary active euthanasia are not permitted, and attempts to legalize them have recurred in federal politics without success.
