Irreversible cellular injury can occur through two main types of cell death: necrosis and apoptosis. Necrosis is premature, unprogrammed cell death that is always pathological, occurring due to external factors like ischemia, toxins, or infections. It is characterized by loss of membrane integrity and inflammatory changes. Apoptosis is a normal, programmed form of cell death important for development, hormone regulation, and removing damaged cells. It occurs through an active enzymatic process and does not cause inflammation. Both pathways ultimately lead to cellular demise but differ significantly in their mechanisms and morphological appearance.