On February 6, 1980, Gacy's trial began in Chicago. During the trial, he pleaded not guilty by reason of insanity. However, this plea was rejected outright; Gacy's lawyer, Sam Amirante, said that Gacy had moments of temporary insanity at the time of each individual murder, but regained his sanity before and after to lure and dispose of victims.
While on trial, Gacy joked that the only thing he was guilty of was "running a cemetery without a license." At one point in the trial, Gacy's defense also tried to claim that all 33 murders were accidental deaths as part of erotic asphyxia, but the Cook County Coroner countered this assertion with evidence that Gacy's claim was impossible. Gacy had also made an earlier confession to police, and was unable to have this evidence suppressed. He was found guilty on March 13 and sentenced to death.
On May 10, 1994, Gacy was executed at Stateville Correctional Center[60] in Crest Hill, Illinois, by lethal injection. His last meal consisted of a dozen deep fried shrimp, a bucket of original recipe chicken from KFC, a pound of fresh strawberries and French fries. His execution was a minor media sensation, and large crowds of people gathered for "execution parties" outside the penitentiary, with numerous arrests for public intoxication, open container violations, and disorderly conduct. Vendors sold Gacy-related T-shirts and other merchandise, and the crowd cheered at the moment when Gacy was pronounced dead.
According to reports, Gacy did not express remorse. His last words to his lawyer in his cell were to the effect that killing him would not bring anyone back, and it is reported his last words were "kiss my ass," which he said to a correctional officer while he was being sent to the execution chamber.
Before the execution began, the lethal chemicals unexpectedly solidified, clogging the IV tube that led into Gacy's arm, and prevented any further passage. Blinds covering the window through which witnesses observed the execution were drawn, and the execution team replaced the clogged tube with a new one. Ten minutes later, the blinds were reopened and the execution resumed. It took 18 minutes to complete.
Anesthesiologists blamed the problem on the inexperience of prison officials who were conducting the execution, saying that proper procedures taught in "IV 101" would have prevented the error. This apparently led to Illinois' adoption of a different method of lethal injection. On this subject, the chief prosecutor at Gacy's trial, William Kunkle, said "He still got a much easier death than any of his victims."
After his execution, Gacy's brain was removed. It is currently in the possession of Dr. Helen Morrison, who interviewed Gacy and other serial killers in an attempt to isolate common personality traits of violent sociopaths; however, an examination of Gacy's brain after his execution by the forensic psychiatrist hired by his lawyers revealed no abnormalities.
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