Ozzy Osbourne’s cause of death has been confirmed. The former Black Sabbath frontman died at 76 after suffering an “acute myocardial infarction” and an “out of hospital cardiac arrest,” according to his death certificate,

Out of hospital cardiac arrest.” It rings clinical, cold, but to millions of fans worldwide, those words signaled the end of an era the day the world lost so-called “Prince of Darkness.” Ozzy Osbourne’s actual cause of death,

Osbourne had been living with long-term health issues for years before he died on July 22 at age 76. Per the Times, Osbourne’s certificate officially said that the icon died of cardiac arrest, acute myocardial infarction, coronary artery disease and Parkinson’s disease with autonomic dysfunction.