Introduktion: Specialiserad palliativ vård finns i hela landet, men är olika organiserad. Det finns uppskattningsvis 100 arbetsterapeuter inom denna vårdform i Sverige. Arbetsterapeut är inte en obligatorisk profession i teamet runt dessa patienter trots att tidigare studier visat att arbetsterapeuter är viktiga då arbetsterapi i den specialiserade palliativa vården skiljer sig från den traditionella.  Syfte: Att kartlägga och beskriva arbetsterapi i den specialiserade palliativa vården i Sverige. Metod: Studien var en Delphistudie i tre ronder för att nå konsensus kring ett antal påståenden om arbetsterapi i palliativ specialiserad vård. Urvalet av deltagare var målinriktat och expertpanelen bestod av 28 arbetsterapeuter som representerade hela landet. Resultat: Experterna nådde konsensus kring att patientens energibesparing tillhör deras främsta arbetsuppgifter redan i rond 2. I rond 3 nåddes konsensus i mer än hälften av påståendena. Konsensus nåddes ej till exempel kring användning av modeller eller bedömningsinstrument. Konklusion: Arbetsterapeuter i specialiserad palliativ vård är samstämmiga i mycket gällande utövandet av arbetsterapi, trots organisatoriska skillnader. Implikationer: Studien visar att arbetsterapeuten borde vara en obligatorisk profession i teamet i den specialiserade palliativa vården i Sverige. / Introduction: Specialized palliative care is available throughout the country but is organized differently. There are estimated 100 occupational therapists in this form of care in Sweden. Occupational therapist is not a mandatory profession in the team around these patients, despite previous studies showing that occupational therapists are important since occupational therapy in specialized palliative care differs from the traditional. Aim: To map and describe occupational therapy in specialized palliative care in Sweden. Method: The study was a Delphi study in three rounds to reach consensus around several statements about occupational therapy in specialized palliative care. The selection of participants was purposeful and the expert panel consisted of 28 occupational therapists representing the entire country. Results: The experts reached consensus that “Saving the patient's energy is one of their main tasks” already in round 2. In round 3, consensus was reached in more than half of the statements. Consensus was not reached, for example, around the use of models or assessment instruments.  Conclusions: Occupational therapists in specialized palliative care agree on much regarding the practice of occupational therapy, despite organizational differences. Significance:  The study shows that the occupational therapist should be a mandatory profession in the team in specialized palliative care in Sweden.