Would you die of apnea in while sleeping ? IMHO the biggest risk is increase of cardiovascular problems (in the long run). Some may die from ventilation reflex deficiency but that not necessarily linked to sleep apnea, and don’t even if this trouble exist and its frequency.
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It's not really sleeping if you take like one good breath every minute and your O2 saturation is around 80% max.
You wake up more tired than you started, plus you're sweating and your throat is sore.
Source: have sleep apnea, tried sleeping without my CPAP for two nights (forgot it at home, noticed when I was 200km away and already late). Haven't forgotten it ever since.
My issue is I can't even sleep without it anymore. I used to be accustomed to the constant waking (since you have low O2 you typically forget), but I've had it for over 10 years now, so if I try to sleep without it I wake up constantly with my heart racing / gasping.
It's something that gets riskier the older you get. Folks don't understand how much of a killer it is since it's just reported as so and so had a heart attack and died in their sleep. Basically just rolling the dice as to whether you'll wake up.