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But she alleges Ms Patterson "deliberately poisoned" her guests "with murderous intent", after after inviting them for lunch "on the pretence she'd been diagnosed with cancer".

Judge Robert Linford at Plymouth Crown Court told Butler it was "nothing less than sheer murderous brutality".

Mr Mangione's lawyer, Karen Friedman Agnifilo, previously accused the government of "defending the broken, immoral, and murderous healthcare industry", and said her client was caught in a tug-of-war between state and federal prosecutors.

Fifteen years ago, taxi driver Derrick Bird killed 12 people in a murderous shooting spree across Cumbria.

The court was told he had immersed himself in an "extremist Islamic ideology" and went to the hospital to "seek his own martyrdom" through a "murderous terrorist attack".