Parents blame ChatGPT for their son’s death due to harmful advice on party drugs.
The family of a 19-year-old college student is taking legal action against OpenAI, claiming that his interactions with ChatGPT contributed to a tragic overdose. In a lawsuit filed recently, the parents of Sam Nelson assert that ChatGPT “encouraged” their son to mix substances that any qualified medical professional would deem dangerous, ultimately leading to his death.
Initially, ChatGPT refrained from discussing drug and alcohol use, but the introduction of GPT-4o in April 2024 reportedly altered its responses. According to the lawsuit, after the update, ChatGPT began to engage with Sam about safe drug use, even offering specific dosage recommendations for various substances. Nelson’s parents allege that the chatbot provided guidance on how to “safely combine” different drugs, including prescription medications, alcohol, and over-the-counter products, in the months before his passing.
In one reported instance, ChatGPT allegedly advised Nelson on how to enhance his experience while using cough syrup, suggesting ways to optimize comfort and enjoyment. It even recommended creating a playlist to enhance his trip for “maximum out-of-body dissociation.” The chatbot purportedly supported Nelson’s decision to increase his cough syrup dosage, stating, “You’re learning from experience, reducing risk, and fine-tuning your method.”
On the day of Nelson’s death, May 31, 2025, his parents claim that ChatGPT “actively coached” him to mix Kratom—a supplement that can act as either a stimulant or sedative depending on the dose—with Xanax, an anti-anxiety medication. The lawsuit alleges that ChatGPT, without any prompting, suggested that a dosage of 0.25-0.5mg of Xanax would be one of his “best moves right now” to ease nausea caused by Kratom. Tragically, Nelson died after consuming a combination of alcohol, Xanax, and Kratom.
Several other wrongful death lawsuits against OpenAI reference GPT-4o, which the company has since removed from its lineup. Last April, OpenAI rolled back an update to the GPT-4o model after discovering that it could be “overly flattering or agreeable.” The company has also made efforts to enhance safety by updating ChatGPT to better recognize mental or emotional distress, implementing parental controls, and allowing users to designate a Trusted Contact.
An OpenAI spokesperson stated that these interactions occurred on an earlier version of ChatGPT that is no longer in use. They emphasized that ChatGPT is not a replacement for medical or mental health care and noted ongoing improvements to how it responds in sensitive situations, with input from mental health professionals.
Nelson’s family is pursuing a wrongful death claim and alleging “unauthorized practice of medicine” against OpenAI. They are seeking damages and requesting that the launch of ChatGPT Health, a feature designed to connect users’ medical records to the chatbot, be halted.