Overview

• Amanita phalloides accounts for most fatal mushroom poisonings worldwide and roughly 80% in Germany, according to the federal risk assessment institute.
• The species is established across Bavaria, especially on base‑rich soils near oaks, and specialists say warming could expand its range into higher elevations.
• Key field cues include pure white gills, a bulbous stipe base with a sheath, a white ring, and a smooth, sometimes sticky cap, yet it is often mistaken for edible champignons or similar lookalikes.
• Poisoning typically starts 6–12 hours after ingestion, may briefly seem to improve, and can progress to severe liver and kidney failure; the heat‑stable amatoxins mean cooking does not make it safe.
• There is no approved specific antidote; clinicians use silibinin early in care, and new lab research highlights STT3B as a potential therapeutic target that remains unproven.