Human sacrifice was practiced to some extent by many peoples in Mesoamerica (and for that matter, around the world) for many centuries. But it was the Aztec empire that really took the ritual to new heights. How many people were sacrificed by the Aztecs? We don’t know how many were sacrificed over the years – it’s possible that some accounts are exaggerated – but it was probably thousands each year – tens of thousands or more all together. Some estimates claim 20,000 a year.
The Aztecs had 18 months in one cycle, and for each of the 18 months there was ritual sacrifice. The victim would be painted as a part of the ritual, they would be placed on a slab where their heart would be removed and held up to the sun. The body would be thrown down the stairs of the temple/pyramid.
The body would be disposed of in various ways, such as feeding animals at the zoo or putting on display (the heads). There are some accounts of cannibalism, but it’s uncertain if this was practiced to any great extent.
There were other ways that humans would be sacrificed – shot with arrows, drowned, burned, or otherwise mutilated. Killing in a fight (like the Roman gladiators) also took place.