Denise Russo’s cause of death has been revealed. The former star of VH1's reality show The X-Life, died in March 2023 at age 44 from «toxic effects of fentanyl and methamphetamine,» according to multiple reports. Her death was ruled an accident. was the first to report the news.In March, the San Diego County Medical Examiner's Office confirmed Russo's death after she was found unresponsive at a friend’s home in San Diego, California, with drug paraphernalia at the scene.A post shared by Denise Russo (@dnice78)Russo was part of one of three couples on The X-Life, which aired in 2011.