Karoshi, or death from overwork, has been common in Japan for decades. It is often seen as part of ‘salary man’ culture where men commit themselves above all else to their employer. However little is ever said about women who die from Karoshi. Now the plight of women is coming more into focus following high profile deaths and signs more women are suffering. Yoshie Matsumoto examines how an overwork culture is affecting women in Japan. It is not just about climbing the corporate ladder but also about upholding traditions, including managing the home, prioritising male domestic needs and rearing children responsibly.