Two matters that have a significant presence in the contemporary Dutch assisted dying debate are the nature of the suffering that is required for an assisted death to be lawful and the issue of who can lawfully assist. This paper explores whether the lawful medical assisted dying model is too restrictive in failing to recognise existential suffering, considering selected case studies involving such suffering and lay assisted death. It addresses the question whether the Netherlands would take a trip down a slippery slope if the lawful model of assisted death were extended to cases where individuals are ‘tired of life’.