Little is known about what constitutes a good death, although palliative care is broadly aimed at enabling the good death. Good deaths could vary considerably across populations. A two-stage ethnographic study was conducted in rural Canada, involving English-speaking Albertans and French-Canadians in Quebec, to establish a conceptual understanding of the good death from a rural perspective. This study identified four common bicultural elements, as well as a conceptual model focusing on quality of life through four dimensions: physical, spiritual, social, and emotional/psychological. Rurality was identified as a dominant consideration for further study.