Cultural competence is important to the domestic violence fatality review process. This article reviews current knowledge about cultural competence for Black women abused by men in the United States, with suggested implications for domestic violence fatality review teams (DVFRTs). Help-seeking behaviors, coping strategies, historical context, and cultural values within the African American community are explored. These areas are further examined using a framework inclusive of the structure, goals, processes, outcomes, and barriers of DVFRTs. The implications for how DVFRTs can utilize this information are discussed.