Art making offers the opportunity to reflect upon ineffable experiences, including those surrounding death and dying. This article examines the artwork of two research participants who each reported a near-death experience (NDE). A trans-personal model was used to elicit the narratives and artwork of two individuals: one who experienced a pleasant NDE and one who experienced a distressing NDE. The author concludes that understanding the similarities and differences between pleasant and distressing NDEs may help to facilitate a better therapeutic alliance with this population and provide greater potential for client growth and transformation. (Contains 8 figures.)