Padela and Mohiuddin (2015) have presented an outstanding review of the Islamic concept of end-of-life care. End-of-life treatment choices are increasing in intensive care units around the world. Many dying patients suffer prolonged and painful deaths, receiving unwarranted, expensive, and invasive care, threatening their physical, psychosocial, and spiritual integrity .Terminally ill patients consume significant resources, including nursing care, transportation, and medications. Padela and Mohiuddin used the theological concept of mukallaf, “accountability before God,” to qualify for life assessment, assuming that if the patient loses the ability of being mukallaf permanently, then the physicians are not obliged to treat such a patient, and hence let him die. This brings forward the question, who is mukallaf in the Islamic theology and jurisprudence? The mukallaf should be a Muslim competent adult. The age of religious responsibility for both male and female is puberty, which might be as early as 9 years for some girls, and up to 18 years for some boys; the average being 12–15 years. However, the age of social and juristic responsibility is agreed upon as 18 years. The age of discernment and capability of entering financial activities, the so-called (Sin Al Rushed) “age of discernment,” ma