Tennessee officials tried to execute Christa Gail Pike on Wednesday night and gave her two doses of the sedative pentobarbital, but she was still alive afterward. By Thursday afternoon, her lawyers said she was in critical condition at a Nashville hospital. Gov. Bill Lee had already stopped the one other execution left on the state's 2026 calendar and ordered an outside review of what went wrong.

Pike, 50, was scheduled to die for the 1995 killing of Colleen Slemmer, a crime she committed at age 18. She would have been the first woman Tennessee executed in more than 200 years. Instead, her attorneys said she was loudly snoring after the second dose and was taken from the Riverbend Maximum Security Institution by ambulance. At first, her lawyers said they had no word on her condition. On Thursday they said she remained in critical condition and was receiving life-saving care. The Washington Post reported that her legal team had not been able to see or speak with her since she was hospitalized.

Lee said in a statement that he wants a comprehensive review by a third party to learn exactly what happened. He said the people of Tennessee expect a lawful sentence to be carried out in a way that is legal, constitutional and effective. The remaining execution scheduled for this year will not go forward.

The Tennessee Department of Correction said its team followed every step of the state's approved execution protocol. That protocol allows a second set of syringes if the inmate is not dead after the first. It does not say what officials should do if the person is still alive after the second set.

What witnesses described inside the prison

Reporters watched from a separate room. They said the curtains to the execution chamber opened at about 7:27 p.m., showing Pike strapped to a gurney. In her final words, she said she would leave this world the way she had spent most of her life, in love, and that she felt at peace.

Witnesses said she did not lose consciousness as expected. At one point she raised her head and asked staff whether her arm was supposed to feel the way it did. By 8:26 p.m., reporters were told the second dose had been given. Pike could still be heard snoring behind the closed curtain until the microphone was switched off at 8:53 p.m., when the media witnesses were escorted out.

One of her attorneys, Randy Spivey, was in the room. He told reporters that the team struggled to place an IV and that he counted at least seven needles used in her left arm alone. He said one needle looked bent when it was removed. He also said her right arm turned purple after the second dose. These details come from her defense team, and state officials had not publicly confirmed them in the reports reviewed. After the attempt, her lawyers filed emergency motions in state and federal court. They argued she was suffering unnecessary agony and that the process violated her right to be free from cruel and unusual punishment.

Why experts call this case unusual

Robin Maher, executive director of the Death Penalty Information Center, called what happened to Pike singular and unparalleled. She said seven other people have survived medical problems after an execution team could not find a vein. But she said no one has stayed alive after actually receiving the drugs used in these executions.

It was also the second failed attempt in Tennessee this year. In May, officials called off the lethal injection of Tony Carruthers, who was convicted of kidnapping and killing three people in 1994. Executioners tried for more than an hour to place an IV and could not.

The state switched from a three-drug method to a single drug, pentobarbital, in 2024. That change came more than two years after Tennessee abruptly halted the planned execution of Oscar Smith and admitted it had not made sure its lethal injection drugs were properly tested. Before Wednesday, Pike's lawyers had argued in court that her small veins and a blood disorder could cause serious complications under the state's protocol.

A day of last-minute court fights

The execution had been set for 10 a.m. Wednesday. About an hour before it was to begin, the 6th U.S. Circuit Court of Appeals voted 2-1 to pause it. The judges wanted time to consider whether the sentencing court had fully weighed Pike's claims that she was sexually abused as a child.

The state attorney general's office went straight to the U.S. Supreme Court. It argued that stopping the execution at the last minute traumatized the victim's family and rewarded delay tactics by Pike's lawyers. Later in the day the justices lifted the pause. The conservative majority gave no explanation. The three liberal justices dissented in writing and said Pike's claims deserved a closer look. The attempt began that evening.

The 1995 case behind the execution date

Pike was convicted of killing Slemmer, 19, in January 1995. The two were classmates at a job training program in Knoxville. Prosecutors said Pike lured Slemmer to a wooded area because she feared Slemmer was trying to take her boyfriend. There, she attacked her with a box cutter and a chunk of asphalt. The crime drew national attention, partly because a pentagram was carved into the victim's body and the case fed fears of Satan worship during the satanic panic of that era.

Pike's boyfriend, Tadaryl Shipp, admitted he carved the symbol. He was 17 at the time and received a life sentence with the possibility of parole. Pike was the only one sentenced to death. She has not denied the killing. Her supporters have asked the state to weigh her age at the time, her bipolar disorder and post-traumatic stress disorder diagnoses, and her allegations of severe abuse. In a statement, Pike said she was a mentally ill 18-year-old who needed years to understand the weight of what she had done.

Slemmer's mother, May Martinez, traveled to Nashville hoping to witness the execution. She told the AP days earlier that she had waited decades to see the sentence carried out.

What remains unanswered

Many questions are still open. Reports so far attribute Pike's condition to her lawyers, and a fuller medical update has not been released. The outside review has no announced deadline or leader in the sources checked. It is also unclear how the state will treat the sentence, which a court ordered carried out, after a procedure that did not end her life. Tennessee's protocol does not address this situation, and legal experts and her lawyers are expected to raise it.

The case also adds to a national debate. Pike would have been the 30th person executed in the United States this year, following an execution in Florida on Tuesday. Since the Supreme Court restored the death penalty in 1976, 18 women have been put to death, about 1 percent of all executions, according to the Death Penalty Information Center. For now, the practical effect in Tennessee is a pause. The governor has stopped the next scheduled execution while an outside team examines what happened in the chamber.

Next checkpoint

What to watch

Pike's medical condition, new court filings from her lawyers, the scope and timeline of the governor's outside review, and any change to Tennessee's execution protocol.

Evidence

Sources and editorial notes

This October 2 account uses Associated Press reporting on the Wednesday attempt and Thursday follow-up reports from NBC News, CNN, WKRN, WSMV and The Washington Post. Claims about the IV attempts and Pike's condition come from her attorneys. Details may change as officials release more information.

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Christa PikeTennessee executionlethal injectionGov. Bill Leepentobarbitaldeath penalty