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Studying post-mortem changes based on signs of decomposition (e.g., using scoring models) is one of the methods used in scientific studies to relate observable changes to the post-mortem interval (PMI). The majority of the studies on cadaver decomposition are based on large cadavers. There is limited literature on the decomposition pattern and rate of small cadavers, even though it is at least as important to be able to estimate the PMI for infants and subadults. Therefore, it is crucial to acquire knowledge of the decomposition process of child-sized remains. To fill this knowledge gap, a season-based subaerial outdoor decomposition study was conducted with small pig cadavers at the Forensic Anthropological Outdoor Research Facility located in Den Ham, The Netherlands, over a period of 4 years. Den Ham is located in the eastern part of the Netherlands, close to the German border, and has a temperate maritime climate, with a Cfb classification according to the Köppen–Geiger system. Salient findings were acquired during the decomposition study, specifically regarding a deviating decomposition rate during winter and the subsequent spring, reproducibility, the effect of body weight, post-mortem movement, the effect of heavy rainfall on insect activity, delayed bloating, the interaction of different insect species, and invertebrate activity. This article includes a systemic review of the results obtained during this four-year decomposition study and discusses the impact of the findings on the estimation of the PMI.