Fetor hepaticus occurs when your breath has a strong, musty smell. It’s a sign that your liver is having trouble doing its job of filtering out toxic substances, usually due to severe liver disease. As a result, sulfur substances end up in your bloodstream and can make their way to your lungs. When you exhale, these substances give your breath a distinct smell. You might also hear fetor hepaticus referred to as “breath of the dead.” This is due to its association with severe liver disease, which can be fatal.