The main purpose of the death mask from the Middle Ages until the 19th century was to serve as a model for sculptors in creating statues and busts of the deceased person.
In some European countries, it was common for death masks to be used as part of the effigy of the deceased, displayed at state funerals; the coffin portrait was an alternative.
The most important process of the funeral ceremony in ancient Egypt was the mummification of the body, which, after prayers and consecration, was put into a sarcophagus enameled and decorated with gold and gems.
In 1876, the archaeologist Heinrich Schliemann discovered in Mycenae six graves, which he was confident belonged to kings and ancient Greek heroes—Agamemnon, Cassandra, Evrimdon and their associates.
Excavations of tombs in the area of the ancient city of Clusium (modern Chiusi, Tuscany) have yielded a number of sheet-bronze masks dating from the Etruscan late orientalizing period.
Death masks were taken not only of deceased royalty and nobility (Henry VIII, Sforza), but also of eminent people: composers, dramaturges, military and political leaders, philosophers, poets, and scientists, such as Dante Alighieri, Ludwig van Beethoven, Max Reger, Napoleon Bonaparte (whose death mask was taken on the island of Saint Helena), Filippo Brunelleschi, Frédéric Chopin, Oliver Cromwell (whose death mask is preserved at Warwick Castle), Joseph Haydn, John Keats, Franz Liszt, Blaise Pascal, Nikola Tesla (commissioned by his friend Hugo Gernsback and now displayed in the Nikola Tesla Museum), Torquato Tasso, Richard Wagner and Voltaire.
One of the first real Ukrainian death masks was that of the poet Taras Shevchenko, taken by Peter Clodt von Jürgensburg in St. Petersburg, Russia.
Before the widespread availability of photography, the facial features of unidentified bodies were sometimes preserved by creating death masks so that relatives of the deceased could recognize them if they were seeking a missing person.
A cast of her face was made by a morgue worker who explained that "her beauty was breathtaking and showed few signs of distress at the time of passing.