Mycology safety guide

Deadly Galerina: Symptoms, Timeline, and What to Do Next

Also called 'funeral bell.' Contains the same amatoxins as the death cap. Here is the symptom timeline and what to do next.

Why the name "deadly Galerina"?

"Deadly Galerina" is a common English name for Galerina marginata, a small, brown, ringed, wood-loving mushroom that grows in clusters on rotting logs and wood-chip mulch. In older field guides you will also see Galerina autumnalis or Galerina venenata. A 2005 molecular study by Gulden and colleagues in Mycologia merged those names into a single species. Different labels, same poison, same danger.

For the species profile — cap size, gill colour, spore print, habitat — see Galerina marginata: the deadly psilocybin look-alike. This page focuses on symptoms and what to do, not identification.

How the poisoning unfolds — the four-phase timeline

Phase 1 — Latent (0 to 6–24 hours)

No symptoms. You feel completely normal. Alpha-amanitin is already binding RNA polymerase II inside your liver cells, but cell death has not begun visibly. This is the window where treatment works best and the window when people wrongly assume they are fine.

Phase 2 — Gastrointestinal (6–24 hours to ~48 hours)

Sudden, severe vomiting. Cholera-like watery diarrhoea. Abdominal cramps. Dehydration develops fast. The American College of Emergency Physicians flags this presentation as one of the specific patterns that should raise amatoxin suspicion, especially with a delayed onset past 6 hours.

Phase 3 — False recovery (~48 to 72 hours)

GI symptoms fade. Patients feel dramatically better and want to leave the hospital. Meanwhile, liver enzymes are climbing — AST, ALT, bilirubin, INR — and hepatocyte death continues silently. Discharging a patient here is a well-documented cause of preventable death.

Phase 4 — Hepatorenal failure (day 3 to 7)

Jaundice, coagulopathy, hypoglycaemia, encephalopathy, acute liver failure. Renal failure often follows. Survival depends on early supportive care, silibinin (Legalon) if available, N-acetylcysteine, and access to a liver transplant centre.

Can deadly Galerina mushrooms kill you?

Yes. Case reports and NAMA registry data document fatalities from Galerina marginata in adults, children, and pets. Beug and colleagues summarised over 2,000 cases in the NAMA case registry and identified amatoxin-containing species (Amanita, Galerina, some Lepiota) as the leading cause of mushroom-related fatalities in North America. A frequently cited case series by Mullins and Horowitz in Veterinary and Human Toxicology (2000) describes a Michigan family that ate Galerina thinking it was a "magic mushroom"; one required a liver transplant.

What to do if you or someone you know may have eaten one

  1. Call US Poison Help at 1-800-222-1222 immediately. If outside the US, call your country's poison control line.
  2. Do not induce vomiting on your own — that call decides whether it is helpful.
  3. Save any remaining mushroom fragments, a spore print, vomit, and photos of the picking site in sealed bags. This helps the poison centre and the hospital identify the toxin.
  4. Go to the emergency department. Tell the triage nurse "possible amatoxin poisoning" — that phrase should get liver function tests, coagulation panel, and IV access started immediately.
  5. Even if you feel better on day 2, stay in medical care through day 4 at minimum. The false-recovery window is the reason people die.

What emergency care looks like

There is no single antidote. Standard hospital management for suspected amatoxin poisoning, per clinical toxicology references, typically includes:

For the full clinical picture, see our amanitin poisoning guide.

Why the "deadly Galerina" cluster keeps happening

Wild-picked "magic mushroom" foragers hunt in the same habitat where Galerina grows — rotting wood, mulch beds, hardwood chip landscaping. Wood-loving Psilocybe species (P. cyanescens in the Pacific Northwest, P. subaeruginosa in Australasia) share Galerina's small brown cap, cluster habit, and ring. Field guides are not enough to tell them apart safely. The single feature that discriminates is the spore print — rusty brown for Galerina, purple-black for every Psilocybe.

See our comparison pages:

Habitat, clusters, and dried-appearance signals foragers ask about

Galerina clusters are tight — five to twenty caps growing shoulder-to- shoulder on the same log or chunk of mulch. The mushroom is hygrophanous: soaking wet after rain it looks caramel-cinnamon, dried out it fades to a pale ochre and looks almost like a completely different species. This colour instability is a common source of misidentification. A dried Galerina cap still contains fully active alpha-amanitin.

The safer path

If your interest is psilocybin therapy or a legal psilocybin experience, wild foraging is not the safer route — legally or medically. Oregon's Measure 109 service centres and Colorado's Prop 122 healing centres exist to route adults around this exact risk. Jamaica permits legal psilocybin retreats. See:

Frequently asked questions

How fast does deadly Galerina work?

Slowly at first. Symptoms usually start 6 to 24 hours after ingestion — much later than most food poisoning. That long, silent gap is what makes it deadly. By the time patients feel sick, damage has been underway for hours.

What are the first symptoms of deadly Galerina poisoning?

Sudden, severe vomiting and watery diarrhoea, usually 6 to 24 hours after eating. Any GI symptoms in that specific delayed window after a mushroom meal should be treated as amatoxin poisoning until a poison centre or toxicology consult rules it out.

Is there an antidote for deadly Galerina poisoning?

There is no single approved antidote. Intravenous silibinin (Legalon), N-acetylcysteine, aggressive IV fluids, and early transfer to a liver transplant centre are the standard combined approach. Outcomes are best when treatment starts before the false-recovery window on day 2.

What is the "funeral bell" mushroom?

"Funeral bell" is another common name for Galerina marginata. Same species as "deadly Galerina" and "autumn skullcap." The name is a warning label, not a curiosity — cases of confusion with psilocybin mushrooms are documented every year.

Can I get sick from touching a Galerina mushroom?

No. Amatoxins are only harmful if ingested. Handling one, taking a spore print, or photographing it is safe. Wash your hands afterwards as a general kitchen-hygiene practice.

My dog ate a mushroom from the yard — is it Galerina?

Assume any small brown mushroom on wood mulch is a candidate and call the ASPCA Animal Poison Control Center at 888-426-4435 or a 24-hour emergency vet immediately. Bring a sample. Dogs progress through the same biphasic amatoxin poisoning and die without aggressive early treatment.

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Sources

  1. Beug MW, Shaw M, Cochran KW.. Thirty-plus years of mushroom poisoning: NAMA case registry summary. McIlvainea / NAMA, 2006. NAMA.
  2. Mullins ME, Horowitz BZ.. The futility of hemoperfusion and hemodialysis in Amanita phalloides poisoning. Veterinary and Human Toxicology, 2000. PubMed.
  3. Gulden G, Stensrud K, Shalchian-Tabrizi K, Kauserud H.. Galerina Earle: a polyphyletic genus. Mycologia, 2005. PubMed.
  4. American Association of Poison Control Centers. National Poison Data System Annual Reports. aapcc.org. AAPCC.
  5. Ye Y, Liu Z.. Management of Amatoxin Poisoning. Clinics in Laboratory Medicine (via PubMed), 2018. PubMed.