Anxiety is a psychological disorder that often occurs in the elderly. One of the factors that influence depression in the elderly is spirituality. Spirituality is described as a strength and belief that can provide peace and self-acceptance. Having high spirituality will help the elderly prevent anxiety or psychological disorders. This study aims to determine the relationship between spirituality and anxiety towards death in the elderly in Bendungan Village, Kraton District, Pasuruan Regency. This research uses correlation analysis method with cross sectional approach. A sample of 43 elderly people was taken using a total sampling technique. The study was conducted from March to April 2021. The data were tested using a crosstab statistical test. The results showed that 23 respondents (53.5%) experienced high spirituality and had moderate anxiety. 18 respondents (41.9%). Which showed there is no significant relationship. One of the efforts that can be done to reduce anxiety in the elderly because their fear of death feels that their life will soon end. High spirituality can have a strong positive effect on the mind and body, thus providing a sense of calm.