Drawing on the anthropology of proximity, this paper examines the ethical, emotional and economic negotiations surrounding death and burial of patients who are medically referred from the Laccadive Islands to the Indian subcontinent in search of advanced healthcare. Death in the Lakshadweep archipelago unfolds within an entangled terrain of ecological precarity, political transformation, and enduring islandic Islamic traditions. For the Muslim-majority islanders, embalmment and post-mortem procedures are religiously discouraged, and the imperative for swift burial often prevents the return of the deceased to their homeland. This results in a critical rupture: the body is interred in a distant land, while grief remains anchored in the island. How do islanders reckon with loss when the grave is permanently displaced across the sea? How are care and care acts enacted across these shifting terrains of life, death, mourning and memory across regions? Through oral narratives, ethnographic fieldwork, and archival analysis of burial and medical records, this paper examines how do these separated graves and grief produces discursive, historical and political proximities and coexistences, which disrupts the claims of belongingness, autochthony and identity. Here, rather than serving as fixed anchors of memory, burial sites emerge as dispersed material markers of rupture and continuity, shaped by socially negotiated experiences. The paper argues that this separation between graves and grief reconfigures both the materiality of death and the ethics of relatedness, entangling islanders in a transregional deathscape that unsettles conventional, linear notions of death, disposal and remembrance.