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Yes. Pufferfish do contain fatal poison.

Pufferfish have a chemical known as Tetrodotoxin stored in their organs, such as the liver. The poison is mainly used as last-minute self defence if the standard puffing and needle defence fails.

Tetrodotoxin is known to be roughly 10 times more deadly than cyanide. There is no known antidote for tetrodotoxin infection.

Humans can be affected by the poison if they eat untreated puffer fish (sushi dishes) or by having the chemicals ingested or injected into them.

Tetrodotoxin causes paralysis of the diaphragm, leading to respiratory failure and often death.

If a human is not fatally affected by the tetrodotoxin, they could find themselves locked in a "near-death" state for a few days. In this case, the person appears dead, but is really conscious.

In the past there have been plenty of cases where people accidently ingesting tetrodotoxin have been mistaken for being deceased, only to wake up in a morgue (or even more sinister, a coffin underground) after a few days when the effects of the poison wear off. Luckily nowadays we have advanced scientific instruments which can tell if a human is deceased or alive and locked in a near-deceased state.

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