 The study aimed to explore preferences for individualized goals of care, geole, for terminal dyspnea among bereaved families of cancer patients in Japan, and factors associated with these preferences. Among 548 participants, 167 would prioritize dyspnea relief over communication capacity in moderate dyspnea, while 272 would do so in severe slash overwhelming dyspnea. The determinants of the prioritization of dyspnea relief included perceiving physical comfort as important for a good death and not perceiving mental awareness as important in severe slash overwhelming dyspnea. Outcome measurements incorporating an acceptable balance between dyspnea intensity and communication capacity should be developed. This article was authored by Masanori Mori, Totsiya Morita, Kengo Amai, and others.