At Everest's summit (8,848 m), oxygen partial pressure is ~1/3 of sea level. Without supplemental oxygen, extreme hypoxia causes rapid exhaustion, impaired judgment, unconsciousness, and death. Most climbers use bottled oxygen (mask + tanks) or continuous-flow systems carried by support teams.
Oxygen is not a guarantee; weather, fitness, and objective hazards remain deadly. Many have died even with oxygen.