Web Reference: Josh was not a little person like his two brothers, Matt and Sam. Josh passed away in 1999 at the age of 34 following heart and lung problems. He was born with a severe heart malformation. Sam also had health problems stemming from his dwarfism, and was confined to hospital beds throughout his childhood as well. May 11, 2021 · Long before the Roloffs graced screens on TLC’s “Little People, Big World” in 2006, the famous reality TV family suffered a tragedy. Matt Roloff, the patriarch of the Oregon family, prematurely said goodbye to his younger brother Josh in a heartbreaking loss, Radar Online revealed in 2016. He also mourns the loss of his brother, Josh Roloff, who died in 1999 at the age of 34 from heart and lung complications. Josh’s memory lives on through the family’s book, Little Family, Big Values, which celebrates his short but impactful life.
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Last Updated: April 7, 2026
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