Human skeletal remains have been discovered from a variety of contexts in the Palauan archipelago of western Micronesia. These include caves, rockshelters, earthen mounds, stone platforms, midden burials, crypts, sarcophagi, and historic period gravesites. Recent excavation of a prehistoric cemetery in a rockshelter on Orrak Island dating from ca 1000 BC-AD 200, combined with nearly contemporaneous surface finds in caves on both Orrak and other nearby islands, shed light on the earliest known burial practices in Palau. Interment in limestone caves and rockshelters was then replaced in succession by burial in earthwork terraces, beneath stone platforms, in middens, within limestone slab crypts and at least one known stone sarcophagus, and finally in Western or Asian-style gravesites with headstones.Here we present the first major synthesis of mortuary patterns in Palau from the earliest periods of known settlement (ca. 1000 BC) to modern times. Understanding how these burial practices change over time provides valuable insight into changing sociocultural practices within Palauan society, including how contact with outsiders during the historical period drastically altered traditional mortuary behaviours.