Edinburgh’s dark tourism industry thrives on its macabre anatomical history, in particular its nineteenth-century legacy of grave-robbing, illicit dissection, and the infamous Burke and Hare murders. This essay explores how the city’s dual identity, as a hub of medical innovation and a stage for Gothic horror, has shaped its modern tourism landscape. Focusing on five key sites—the Surgeons’ Hall Museums, the University of Edinburgh’s Anatomical Museum, Greyfriars Kirkyard, the Old College dissection rooms, and Burke and Hare walking tours—the analysis reveals how Edinburgh confronts its controversial past through deliberate preservation and public engagement. These attractions force visitors to grapple with ethical dilemmas: Are displays of human remains educational tools or exploitative spectacles? Does commercializing tragedy trivialize victims or preserve historical memory? The essay examines the ethical tensions inherent in anatomical tourism, comparing Edinburgh’s approach to institutions such as London’s Hunterian and Philadelphia’s Mütter Museums. It highlights modern debates over consent, repatriation, and the balance between education and entertainment. While critics decry the “Disneyfication” of dark history through sensationalized ghost tours, proponents argue that these narratives foster public engagement with medical ethics. Emerging solutions, such as augmented reality exhibits, community-led curation, and ethical tourism frameworks, suggest a path forward for responsible heritage management. Ultimately, Edinburgh’s anatomical tourism offers a unique lens toward the examination of the costs of scientific progress. By refusing to sanitize its past, the city challenges visitors to confront uncomfortable questions about exploitation, memory, and the moral boundaries of medical study. This case study highlights the potential of dark tourism to transcend morbidity and provoke meaningful dialogue about history’s complex legacies.