Probably one of the most stand out cases in deaths like that. Young man having an extreme fantasy need to imagine and recreate himself being strangled to death while simultaneously being r-ped in the ass in very rough way as he would be dying. Well, his dream came true…

Also, how he hoped to keep this fantasy addiction, including his huge size "toys", secret from his soon to be young wife, I have no idea. She either would find his "toys" sooner or later or find him dead exactly like this herself, when one day coming home from work. And seeing corpse of her husband like this…