Usually means: Critical situation, survival at stake.
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We found 11 dictionaries that define the word a matter of life and death:

General (9 matching dictionaries)
  1. a matter of life and death: Merriam-Webster
  2. a matter of life and death: Oxford Learner's Dictionaries
  3. a matter of life and death: Collins English Dictionary
  4. a matter of life and death: Dictionary.com
  5. A Matter Of Life And Death, A Matter of Life and Death (album), A Matter of Life and Death (film), A Matter of Life and Death (play), A Matter of Life... and Death, A Matter of Life and Death: Wikipedia, the Free Encyclopedia
  6. a matter of life and death, A Matter of Life and Death: Merriam-Webster

Miscellaneous (1 matching dictionary)
  1. a matter of life and death: Idioms

Slang (1 matching dictionary)
  1. a matter of life and death: Urban Dictionary

Definitions from Wikipedia (A Matter of Life and Death)

noun:  a 1946 British fantasy-romance film set in England during World War II.
noun:  the fourteenth studio album by English heavy metal band Iron Maiden.
noun:  a stage adaptation by Tom Morris and Emma Rice of Powell and Pressburger's 1946 film of the same name for the company Kneehigh Theatre.

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