His daughter, Emine Mükbile, who had married her distant cousin Ali Vasib in 1931, cared for him, her grandmother and brother during all this time. Ömer Hilmi suffered from a stroke and died soon after settling in Alexandria. He died aged 49 at Alexandria, on 6 April 1935, and was buried in Khedive Tawfik Mausoleum, Cairo, Egypt.