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While Fulk and Melisánde are on holiday in Acre, the king’s horse stumbles and falls, and the saddle crushes Fulk's skull.

He is carried back to Acre where he dies on November 13, 1143, and is buried in the Church of the Holy Sepulchre.

Though her marriage had begun in conflict, Melisánde mourns for Fulk privately as well as publicly.

He is survived by Geoffrey of Anjou, the issue of his first wife Matilda of England, and by Baldwin and Amalric, his sons by Melisánde.