Belgium includes all deaths anywhere, including care homes and at home,
even if there is no positive test, just the diagnosis of a doctor that COVID is a possible cause
Other countries in Europe count "with" COVID as "from" COVID, but only if there is a positive test, before or after death
Countries that include care home deaths:
Belgium, UK, Ireland, Germany, France
Belgium is overstated compared to all other countries statistics, so it is difficult to judge whether their death rate is genuinely that much higher than everyone else's
However, this graph is normalised wrt population, for countries which include care home deaths: