Rachel Walker Revere died in Boston on June 26, 1813, from an illness described as bilious colic. That is the historical wording of the reported cause, rather than a sufficiently precise basis for a modern diagnosis. The description suggests an abdominal illness but does not establish its underlying pathology, its duration, or the treatment she received. Only weeks before her death, Gilbert Stuart painted her portrait, leaving an image of Rachel near the end of her life. The timing of the portrait does not prove that she was already terminally ill when she sat for it. She had spent the later decades of her life in the large household she and Paul Revere had formed after their marriage in 1773. Her husband survived her. She was buried in the Granary Burying Ground, where he was later also interred. The portrait, death date, and historical cause provide the clearest surviving outline of her last period; details of bedside care, a specific abdominal disease, or final conversations remain unverified.