Omega Island proposes the transformation of a dismantled former Navy base on Iona Island along the Hudson River into an end-of-life care village and rehabilitative retreat. The project repositions abandoned military infrastructure as an infrastructure of care, supporting terminally ill individuals as they transition toward the end of life. It introduces a distributed campus of therapeutic cabins, each calibrated to distinct psychological and existential needs, working alongside systems of palliative support to address both physical and emotional conditions. Operating across scales—from the intimacy of a solitary cabin in the landscape to the collective organization of a care-based settlement—the project reframes end-of-life care as a spatial and environmental framework for dignity, reflection, and existential rehabilitation. As the initial phase of a larger thesis, the project focuses on developing spatial strategies and programmatic interventions that define how psychotherapeutic care is structured, distributed, and experienced within this emerging typology.