However, the reason Tommy is "still alive" by the end of the series is one of the show's biggest twists. It turns out he was never actually terminally ill. The Great Deception
In Peaky Blinders Season 6, Episode 4, titled "Sapphire," Tommy Shelby receives a devastating medical diagnosis that seems to seal his fate: an in his brain stem. His doctor, Dr. Holford, gives him just 12 to 18 months to live, explaining that the growth was likely contracted from his daughter, Ruby. [S6E4] Why Is Tommy Still Alive?
The diagnosis was a orchestrated by his political rival, Sir Oswald Mosley. However, the reason Tommy is "still alive" by
Here’s What Happened in the ‘Peaky Blinders’ Series Finale - Netflix [S6E4] Why Is Tommy Still Alive?