At the right dose, Tylenol may well be the safest pain medication we have, even compared to Advil, which can occasionally cause problems if taken regularly over a lifetime. However, the gap between a useful dose of Tylenol, and the amount of Tylenol which will kill you, is relatively small compared to similar medicines.
My parents say they've watched a lot of people die in the hospital from Tylenol overdoses. There is an antidote, but only if you get it in time.