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Ralphie May passed away in October, and ever since the news rocked fans of the comedian, there have been questions of what really paved the way for his death. 

Ralphie May

Most assumed it was a massive heart attack that killed Ralphie, but now, the official cause of death has been confirmed by Nevada’s Clark County Coroner’s office tweeted. 

"Our Coroner/Medical Examiner has determined that Ralph May, 45, of Nashville, Tenn., died on Oct. 6, 2017, from Hypertensive Cardiovascular Disease," the post begins. 

"The manner of his death was natural. We extend our sincere condolences to Mr. May’s family and friends."

The Hollywood Gossip

According to TMZ, May’s body was found in the bedroom of a residence in Las Vegas. Having performed at Harrah’s the evening before, a friend grew concerned after he did not emerge from the bedroom at a reasonable hour. 

Despite paramedics being called to the scene, he was not taken to hospital as there was nothing they could do, and the time of death has been marked as 1:28 p.m. 

It has also been confirmed that Ralphie was suffering from pneumonia in the weeks leading up to his death. 

Ralphie May, Red Jacket

May was a runner-up on NBC’s Last Comic Standing back in 2003. 

The news of his passing was met with sadness from those who were close to him, and those who were fans of his witty humor. 

“I love you RALPHIE MAY. Realest dude I’ve ever met,” Tweeted Last Man Standing presenter, Jay Mohr in response to the news. 

"Wow….I was just told that Ralphie May passed. I’m truly saddened by this," said Kevin Hart. "He was a good dude. Heaven just got another funny angel RIP man."

May he rest in peace.