Imagine you inherit a house and find a locked room. For a hundred years, people have argued about what's inside — some insist it's empty, others swear they heard noises. Finally someone picks the lock and looks. That's what Roselyn Campbell of Purdue University just did with 46 skulls from Egypt's earliest royal cemetery. The cemetery of Umm el-Qa'ab near Abydos holds the tombs of First Dynasty rulers dating to roughly 3,000 BC. Surrounding the royal tombs are hundreds of subsidiary graves — court officials, seal-bearers, inspectors, artisans. Since Flinders Petrie excavated them in the 1920s, Egyptologists have debated whether these retainers were sacrificed upon the king's death or merely reburied there after dying naturally. Petrie himself believed it was sacrifice but couldn't find trauma on the bones. The debate stalled for a century. Campbell's committed claim: she re-examined the actual skulls from the Duckworth Collections at Cambridge and found that 18 of 46 (39%) show perimortem trauma — fractures and, in one case, a chopping injury to the eye socket — consistent with deliberate killing. This is the first study to apply modern osteological methodology to the retainer remains themselves, rather than arguing from tomb architecture and textual sources alone. The fractures are not from maces, the weapon depicted in royal smiting scenes, but from flat, wide objects — likely wood or antler — suggesting a distinct ritual instrument. The ladder here is important. Previous arguments for retainer sacrifice rested on circumstantial evidence: the simultaneous sealing of subsidiary graves, the sudden appearance of hundreds of retainer burials under King Djer and their disappearance by the Second Dynasty, and comparative ethnography from Mesopotamia and China. Campbell's physical evidence doesn't replace these arguments but gives them a load-bearing spine. The skulls come from graves surrounding three royals — King Djer, King Djet, and Queen Merneith — providing cross-reign data rather than a single data point. The integrity picture is honest but constrained. Campbell works with what Petrie left behind — 46 skulls from a population that originally numbered in the hundreds. She acknowledges plainly that the 28 skulls without trauma cannot confirm sacrifice, that the sample may not be representative, and that some retainers may have gone willingly while others did not. This is a small-sample observational study on century-old excavation material, not a controlled experiment. The methodology — modern trauma analysis applied to archived remains — is sound, and independent Egyptologists Salima Ikram and Dawn McCormack both endorse the approach while noting the limitations. The broader pattern is striking. Subsidiary burials scale dramatically under Djer's successors (hundreds of graves) then vanish entirely with the Second Dynasty, replaced by statuettes — ushabtis — that served the same symbolic function without the killing. This telescoped timeline suggests retainer sacrifice was an intense but brief elite practice, possibly linked to the consolidation of divine kingship during the First Dynasty. The practice's disappearance may represent one of history's earliest recorded ethical shifts in ritual practice, or simply a cost reduction. What Campbell has opened is a method, not a conclusion. If modern trauma analysis can extract this much signal from Petrie's century-old collection, the same approach applied to retainer remains from other First Dynasty sites — or from comparable cultures in Mesopotamia and early China — could build a genuinely comparative picture of elite sacrificial practices across early state formation. The 46 skulls are a pilot; the real study would need hundreds.