Royal families often intermarried to preserve bloodlines and political alliances. For centuries, kings and queens married close relatives to keep dynasties intact and thrones secure. However, this practice sometimes led to severe health issues due to the limited gene pool.
Here are notable instances where royal inbreeding had unsettling consequences.
Charles II of Spain Could Barely Function, Let Alone Rule

Charles II was a king so physically frail and mentally delayed that rumors claimed he was cursed. But the truth is, he was just overbred. His family’s obsession with purity led to one of the highest inbreeding coefficients ever recorded. He drooled, limped, couldn’t father children, and could barely talk. When he died, the Spanish Habsburgs ended with him.
The Habsburg Jaw Was More Than Just an Awkward Smile

The family portraits weren’t exaggerating. That famously huge chin came from generations of uncle-niece and cousin marriages. A modern study confirmed the link between the severity of their underbite and how often they married relatives. Apart from being a cosmetic problem, it also made speaking and eating genuinely difficult.
King Tutankhamun Didn’t Stand a Chance from Birth

King Tutankhamun’s golden tomb may look glorious, but his body told a darker story. When scientists tested King Tut’s DNA, they discovered his parents were full siblings. That explained a lot — his clubfoot, his fragile bones, and the fact that he needed canes as a teenager. He died around the age of 19.
Queen Victoria’s Genes Traveled Faster Than Her Empire

Victoria’s empire stretched across the globe, and so did her bloodline. She unknowingly carried hemophilia, which passed to royals in Spain, Russia, and Germany. This health issue changed politics. Her grandson’s illness in Russia brought Rasputin into power and helped topple a dynasty.
George III’s Mind Unraveled in Full Public View

George III talked nonstop, wrote letters that made no sense, and sometimes screamed for hours. People called him mad. Some blamed a rare disorder called porphyria, but modern researchers lean toward bipolar disorder. Whatever the cause, his breakdown left Britain without strong leadership during some critical years.
Don Carlos of Spain Wasn’t Just Misunderstood — He Was Dangerous

Don Carlos was unstable, violent, and at times outright terrifying. He once tried to kill a servant with a fireplace tool. His parents were first cousins, and their families had intermarried for generations.
Leopold I’s Face Told a Story of Centuries of Inbreeding

They called Leopold I “Hogmouth,” which wasn’t exactly subtle. His chin stuck out so far that it gave him a speech impediment. Like others in his family, he married his niece. It was a habit the Habsburgs couldn’t seem to break, no matter the consequences.
Maria Antonia Was Born Into One of Europe’s Most Twisted Lineages

Maria Antonia’s family tree looked more like a circle. The inbreeding coefficient in her case was astonishing — possibly higher than that of Charles II. Her health was fragile, and she died young. Historians often cite her as proof of how far the Habsburg dynasty pushed the limits of consanguinity.
Ferdinand I of Austria Held the Crown but Never Held Power

Ferdinand’s disabilities reflected the genetic strain from centuries of marrying within the same bloodline. He suffered from epilepsy and developmental delays that made ruling impossible. He had trouble speaking and often needed help with basic tasks. His family staged his reign while advisors handled everything behind the scenes.
Alfonso XIII’s Sons Paid the Price for Their Pedigree

Hemophilia didn’t just haunt British royals. The royal marriage strengthened political ties but devastated the next generation. When King Alfonso XIII of Spain married Queen Victoria’s granddaughter, the disorder came with her. Two of their sons inherited it. One died from internal bleeding after a minor fall.
Ludwig II of Bavaria Lived in Fantasy While His Mind Slipped

Ludwig built dreamy castles and avoided court life. His ministers eventually declared him insane. His behavior was strange, but inbreeding probably wasn’t the only cause. His family was less genetically entangled than others, but mental illness still crept through the lineage. He died mysteriously after being removed from power.
Tsarevich Alexei’s Blood Couldn’t Clot — And It Changed History

Alexei bled uncontrollably from even minor injuries. His parents kept it secret, but Rasputin claimed to help and became essential to the family. The boy’s illness weakened the monarchy and gave rise to superstition and distrust. When a child’s health threatens a nation, bloodlines become political liabilities.
Prince Leopold Died from a Fall that Most People Would Walk Away From

Queen Victoria’s youngest son had hemophilia. At thirty, he fell while in France and hit his head. The internal bleeding killed him. A minor accident became fatal. The public was shocked, but the family had seen it before. Hemophilia didn’t care about royal titles or privilege.