IntroductionUnderstanding the factors that contributing to dengue deaths is crucial for developing effective interventions and improving public health strategies. This study aims to determine the dengue mortality rate in Malaysia from 2012 to 2021. MethodsAll dengue-related death data were obtained from the Department of Statistics Malaysia (DOSM) and were examined from 2012 to 2021. ResultsA total of 1641 dengue-related deaths were identified. The average annual crude mortality rate was 0.5 deaths per 100000 people, with the highest rate in 2015 at 1.1 deaths per 100000 people. The central and southern regions had the highest age-adjusted mortality rates. Older age groups had higher mortality rates compared to younger individuals. ConclusionsDengue remains a significant public health challenge in Malaysia. It is essential to prioritize older individuals and urban areas in addressing this issue.