Auto-sacrificial blood-letting was an important ritual practice for the ancient Maya. Letting blood using implements like sharpened bone, stingray spines, thorny ropes, and obsidian blades provided the Maya the means to petition their ancestors and the gods for rain, good harvests, and success in warfare, among other needs and desires. The prevailing assumption is that obsidian blades recovered from ceremonial or ritual contexts, like caches, burials, and caves, were used for blood-letting. This belief is primarily founded on contextual, epigraphic, iconographic, and ethnohistoric information. With some exceptions, however, this interpretation does not typically include any use-wear analysis of the blades themselves. Reasons for the limited application of use-wear analysis to identify obsidian blood-letters recovered from ceremonial or ritual contexts include observational difficulties associated with the minimal wear development resulting from their short term use in this activity and contact with a soft and yielding medium like human flesh. This paper explores an approach to assist in identifying obsidian blades likely used for auto-sacrificial blood-letting based on high-power microscopic (400×) use-wear analysis. The need for this experimental work was initiated by the recovery of some obsidian blades from Actun Uayazba Kab, an ancient Maya cave in Belize, that were suspected blood-letters. Emphasis is placed on the observation and differentiation of wear features produced on 26 experimental obsidian blade segments used to cut pig skin/flesh, as a proxy for human flesh, as well as soft cow hide, fresh pig bone, fresh cohune palm fronds, and queen conch shell. The wear on the suspected blood-letters from Actun Uayazba Kab is similar to that produced on the experimental replicates after very minimal use (30 strokes). Moreover, the combination of wear features on the skin/flesh, hide, bone, plant, and shell can be distinguished from one another even after short-term use.