The use of ochre in burials at the Neolithic site of Khok Phanom Di, Thailand, was a broadly inclusive practice; however, ∼18 per cent of burials did not contain powdered ochre pigment. On closer examination it was found that the majority of those without ochre were perinates. When compared to other burials in the cemetery non-ochred perinate burials were typically shallow scoop cuts, without grave goods. However, not all perinates were buried in this manner; ∼38 per cent of perinate burials contained ochre and were more similar in type and contents to the rest of the cemetery. This paper examines the differences between perinate burials with and without ochre, considering the wider bioarchaeological context. The findings show that perinates without ochre were on average smaller skeletally than those with pigment. This along with comparisons to other sites directs the focus to ‘the point of mortality’—whether the individuals were stillborn or neonatal deaths. This is explored through comparative data and a cross-cultural discussion of perinatal personhood and social acknowledgement. The interment of non-ochred individuals within the community cemetery demonstrates community inclusion but an exclusion from ‘normal’ burial rites (ochre, grave goods, etc.), demonstrating a lack of individual acknowledgement—a grey area between inclusion and exclusion.