I had two training partners that died directly due to AS use. My first partner was doing Fina, Anadrol, Dbol, Winny. He was deadset against injections. So he did all of these orally. Well one night while watching the comedians on BET, he throws down 10 Fina pellets, 5 dbols, 2 50mg Anadrol in his mouth all at once and squirts 2ccs of Winny to wash it down. Just when tried to swallow all of this crap, Chris Rock made him start laughing which caused him to choke and suffocate on the AS.
My second training partner was the brother of the first training partner. Seeing the error of his brother's ways, he decided to inject. He would go in the bathroom and lean on the toilet so he could stretch his glute before injecting. Well he hated injecting also so in an attempt to shoot everything at once, he loaded up a pin with 2cc of Test, 1cc of EQ, 1cc of Winny and 1cc of Deca. That's 5ccs in one shot. He bought some 5cc syringes with a 2.5" needle, 16gauge. He figured he could bury the needle and pull it out a little at a time while injecting. The first time he tried this, as he was pulling the needle out, blood came squirting out his glute and he saw the blood and passed out. He fell face first in the toilet and drowned.
So yeah, AS can directly cause death.