Feedback

People V Sam

            NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except
            in the limited circumstances allowed under Rule 23(e)(1).

                                          2025 IL App (3d) 200220-U

                                   Order filed July 24, 2025
      ____________________________________________________________________________

                                                     IN THE

                                     APPELLATE COURT OF ILLINOIS

                                               THIRD DISTRICT

                                                       2025

      THE PEOPLE OF THE STATE OF                         )       Appeal from the Circuit Court
      ILLINOIS,                                          )       of the 12th Judicial Circuit,
                                                         )       Will County, Illinois,
              Plaintiff-Appellee,                        )
                                                         )
              v.                                         )       Appeal No. 3-20-0220
                                                         )       Circuit Court No.12-CF-2951
      BAHAA A. SAM,                                      )
                                                         )       Honorable
              Defendant-Appellant.                       )       Amy Bertani-Tomczak,
                                                         )       Judge, Presiding.
      ____________________________________________________________________________

            JUSTICE HOLDRIDGE delivered the judgment of the court.
            Presiding Justice Brennan and Justice Peterson concurred in the judgment.
      ____________________________________________________________________________

                                               ORDER

¶1          Defendant convicted of first-degree murder was entitled to a new trial to determine
            whether he was insane or guilty but mentally ill at the time of the offense because the
            prosecutor misstated critical evidence and made several other improper and prejudicial
            comments that deprived the defendant of a fair trial.

¶2          The defendant, Bahaa A. Sam (Sam), was charged with first-degree murder in the beating

     death of his wife, Nermeen Sam (Nermeen). Sam admitted to killing Nermeen but argued that he

     was not guilty by reason of insanity, or, in the alternative, that he was guilty but mentally ill
     (GBMI). After a jury trial, Sam was convicted of first-degree murder and sentenced to 29 years’

     imprisonment.

¶3          Sam seeks a new trial, arguing that: (1) the prosecutor committed several improper acts

     during trial and closing argument that were severely prejudicial to Sam’s defense; and (2) the

     trial court abused its discretion by allowing the State to replay a 40-minute excerpt of a video

     recording of Sam’s initial police interview during its closing argument.

¶4                                          I. BACKGROUND

¶5          On December 19, 2012, Sam bludgeoned Nermeen to death with a weightlifting bar on

     the front lawn of the family home in Tinley Park. Jennifer Mazur, a neighbor who lived one

     block from Sam’s residence, drove by the scene at the time of the incident. Mazur testified that

     she saw Sam repeatedly striking what appeared to be a female child with a pole. A young boy

     was standing in the yard with Sam. The female was lying face down rolling around on the

     ground as Sam struck her. The beating occurred on the part of the front yard near the sidewalk,

     closer to the street than to the house. When Mazur pulled up in front of Sam, Sam stopped

     beating Nermeen and watched Mazur drive past the scene. Mazur called 911 and reported what

     she saw.

¶6          Mazur drove past the scene again approximately two minutes later. She saw Sam and the

     boy standing in the same place as before. Sam was staring up at the sky. The female was lying

     in the same spot where she had been beaten, and was no longer moving. She was not lying under

     a tree at that time. Her body was not concealed. As Mazur drove by, Sam looked in her

     direction and appeared to make eye contact with her.




                                                      2
¶7            Joseph Zambrano testified that he and a few friends drove past the scene that morning and

       saw a figure lying on the grass covered in blood. The figure was lying closer to the street than the

       house and was not underneath a tree. The body was not concealed.

¶8            Tinley Park police officer William Batsch was on patrol on the morning the offense was

       committed and was dispatched to Sam’s residence. When he arrived at the house at

       approximately noon, other officers were already on the scene. Officer Batsch and the other

       officers approached the house and knocked loudly on the front door, identifying themselves as

       police officers. No one answered the door. After entering the house and announcing that they

       were police officers, Sam emerged from a second-floor room and began walking down the stairs

       while talking on his cell phone. The officers drew their guns and ordered Sam to stop, but Sam

       continued walking down the stairs and using his phone. Sam made eye contact with the officers

       and spoke softly, making unintelligible statements. The officers took Sam to the ground,

       handcuffed him, and placed him in a chair in the front room while some of the other officers

       searched the house.

¶9            Sam was covered in blood from head to toe. While the other officers were searching the

       house, Sam asked Officer Batsch if Nermeen was alive or if she had passed away. He told

       Officer Batsch that his wife was under the tree in the front yard, and he asked whether she was

       moving.

¶ 10           Officer Rudy Rosillo of the Tinley Park Police Department was dispatched to the scene

       hours later. When he arrived, Sam was already in custody. Nermeen’s body was partially

       underneath a pine tree in the yard. Rosillo transported Sam to the Tinley Park police station. On

       the way to the station, Sam asked Officer Rosillo whether “she” was dead or still alive. Sam

       initially denied killing Nermeen.


                                                        3
¶ 11          When they arrived at the police station, Sam was placed into an interview room where he

       and Officer Rosillo waited for detectives to come to interview Sam. There was blood spatter all

       over Sam’s face, clothes, hands and feet. He had lacerations on his left thumb and right index

       finger. Sam and Officer Rosillo waited together for approximately three hours.

¶ 12           During that time, Sam made several statements to Rosillo. At one point Sam said, “she

       bit me here” and showed Rosillo his right and left thumbs. Sam also asked Officer Rosillo what

       the date was. When Rosillo told Sam that it was “the 19th,” Sam asked whether it was the month

       of December. At one point, Sam said “it’s not good, it’s not good, why do like this, why do like

       this.” He told Rosillo that he had four children and asked where they were going to go.

¶ 13          Detectives Stanley Tencza and Osama Dajani arrived and interrogated Sam. The officers

       mirandized Sam, with Officer Osama Dajani (who spoke Arabic) translating for Sam when

       necessary. During the interrogation, Sam confessed to killing Nermeen.

¶ 14          During the trial, the State played portions of a video that had been recorded while Sam

       waited in the interrogation room with Officer Rosillo and while he was interrogated by

       Detectives Tencza and Dajani. The video lasted approximately one hour, and it included Sam’s

       confession.

¶ 15           During the videotaped interview, Sam gave the following account to the detectives. Sam

       stated that he and Nermeen lived together and everything was “good.” However, he noted that

       he had been out of work and it had been very hard for him to find a job.

¶ 16          On the morning of the incident, one of Sam and Nermeen’s daughters was in the hospital.

       Sam and Nermeen were home with their four-year-old son, Mina. Nermeen wanted to visit their

       daughter in the hospital, but Sam told her that she could not go. Sam and Nermeen then began to




                                                       4
       argue. Nermeen told Sam that he needed to go find a job. Nermeen accused Sam of sitting in the

       house all day “like a lady,” which challenged Sam’s manhood and made him upset.

¶ 17          Sam put his hand up to the wall to prevent Nermeen from leaving the house, and she bit

       him on his hands and started punching him. Sam said that initially he did not “touch” Nermeen

       because he was on “one year supervision” from a court for a prior domestic offense and was

       prohibited from touching Nermeen.

¶ 18          After Nermeen bit Sam, she went outside. Sam retrieved a weightlifting bar from his

       office and followed her. Mina followed behind Sam. Sam hit Nermeen once or twice on top of

       the head with the bar. Sam was scared so he grabbed Mina, ran back inside the house, and lay on

       the floor. He never went back outside to check on Nermeen and he did not call an ambulance.

¶ 19           Detective Tencza asked Sam how blood got on his clothes, Sam began saying that the

       blood came from when he struck Nermeen, but then said that the blood came from when

       Nermeen bit him on his hands. Detective Tencza asked Sam multiple times whether he had

       moved Nermeen’s body underneath the tree after the beating. Sam denied moving Nermeen’s

       body and stated he did not know how her body got underneath the tree.

¶ 20           Sam asked detectives multiple times during the interrogation whether Nermeen was alive

       or if she had passed away. After Detective Tencza informed him that Nermeen had passed away,

       Sam continued to ask detectives whether Nermeen had died. Toward the end of the interview,

       Sam asked the detectives how Nermeen passed away, and Detective Tencza told him that it was

       because Sam struck her.

¶ 21          Detective Tencza asked Sam why he was so angered by Nermeen that day. Sam replied

       that he had purchased a restaurant two years ago, but his business partner subsequently “kicked

       him out,” and Sam has been unemployed since then. Sam further stated that Nermeen’s mother


                                                      5
       did not like him and would fight with him all the time. He believed that she put medication from

       Egypt in his food to keep him from sleeping. While Sam was employed, there were times when

       he could not sleep for 24 hours straight.

¶ 22          Illinois State Police Sergeant Heather Poerio, a crime scene investigator, testified that she

       took photographs of the crime scene and of Sam after he was brought to the police station. It did

       not appear to her that Sam had attempted to clean up the crime scene or change his bloody

       clothes after killing Nermeen. Nermeen’s body was partially concealed under a pine tree in the

       yard. There was a bloody, matted-down area of the grass in front of the tree. Seargeant Poerio

       opined that this suggested that Nermeen’s body had been pulled through the grass and placed

       under the tree.

¶ 23          The defense called Dr. Carl Wahlstrom as an expert in the fields of psychiatry and

       forensic psychiatry. After examining Sam, reviewing Sam’s medical records, and interviewing

       various witnesses who had knowledge of Sam’s mental condition in the months and years prior

       to the murder, Dr. Wahlstrom opined that Sam was insane at the time of the offense. Dr.

       Wahlstrom concluded that, at the time of the offense, Sam suffered from severe, major

       depressive disorder with psychotic features and loss of reality testing. Sam was not being treated

       at the time of the offense. Dr. Wahlstrom opined that, due to the severity of Sam’s mental

       disorders, Sam lacked a substantial capacity to appreciate the criminality of his conduct.

       However, Dr. Wahlstrom opined that Sam was fit to stand trial provided he took his medications.

¶ 24          Dr. Wahlstrom testified extensively regarding the interviews he conducted and the

       medical records he reviewed in forming his medical opinions. The following is a summary of

       his testimony.




                                                        6
¶ 25          From his interviews with Sam’s three siblings, Dr. Wahlstrom learned that there had been

       a drastic change in Sam’s behavior in the two years leading up to the offense. Sam had become

       confused, was not sleeping, stopped bathing, and was losing a lot of weight. Sam would stare at

       his family, repeat himself, and laugh inappropriately for no reason. He was unable to keep a job,

       and he believed that his business partners at a restaurant where he had previously worked were

       stealing from him. He would stay in his bedroom all day and refuse to leave the house. Sam

       believed that his mother-in-law was poisoning him by putting medicine in his food. Sam’s

       siblings saw no evidence of that.

¶ 26          In early March of 2011, Sam was not sleeping, kept repeating himself, and seemed

       disoriented and agitated. He went to urgent care and was prescribed Xanax, which did not

       alleviate his symptoms.

¶ 27          A few days later, Sam’s siblings took him to the emergency room at Loyola Hospital

       (Loyola). According to the Loyola treatment records, Sam said that he felt great and was not

       depressed. While at Loyola, Sam met with Dr. Matthew Niedzwiecki, a psychiatrist. Dr.

       Niedzwiecki noted that Sam was mumbling under his breath, “no don’t tell them.” He indicated

       that Sam was very distrustful of his coworkers. Dr. Niedzwiecki recommended that Sam

       discontinue the Xanax and start taking Klonopin, a medication that treats anxiety, panic disorders

       and psychotic disorders such as bipolar mania and schizophrenia. Dr. Niedzwiecki also

       recommended that Sam see a psychiatrist.

¶ 28          Two weeks after Sam was examined at Loyola, he began treatment with Dr. Ghassan

       Aldurra, a psychiatrist at Good Hope Behavioral Help. Sam treated with Dr. Aldurra from

       March of 2011 through March of 2012. Dr. Wahlstrom reviewed Dr. Aldurra’s medical records,

       which were admitted into evidence. The records indicated that, during Sam’s first visit with Dr.


                                                       7
       Aldurra, Sam was disheveled-looking and appeared to be delusional and severely depressed.

       Sam would not give his identification to the staff, and he appeared to be paranoid and suspicious.

       Sam exhibited severely impaired judgment and insight. Dr. Aldurra diagnosed Sam with severe

       major depressive disorder with psychotic features. Dr. Aldurra prescribed antidepressant and

       antipsychotic medications. However, Sam did not take the medications. He reported that he did

       not need the medications because he felt well. Sam was not cooperative with Dr. Aldurra and

       never wanted to see him. Sam always denied that he was sick.

¶ 29           In April of 2011, Dr. Aldurra noted that Sam appeared delusional. Sam thought that

       some of the pills in his prescription bottles looked different than the other pills. He believed that

       both Nermeen and his mother-in law were putting something in his food or changing his

       medications.

¶ 30          In May and August of 2011, Dr. Aldurra and Sam’s brother did notice “some

       improvement” in Sam’s condition. However, Dr. Aldurra continued to prescribe the

       antidepressant and antipsychotic medications because Sam was still responding to internal

       stimuli and was still suffering from major depressive disorder with psychotic features. By July of

       2011, Dr. Aldurra strongly urged Sam’s siblings to take him to a hospital.

¶ 31           By March of 2012, Nermeen reported to Dr. Aldurra that Sam had been “rough” with her

       and had been hitting her. Based on his review of Sam’s medical records up to that point, Dr.

       Wahlstrom opined that Sam’s condition was not being managed and could lead to violent

       activity.

¶ 32           Dr. Aldurra ultimately decided to stop treating Sam because Sam did not take his

       medications or comply with Dr. Aldurra’s recommendations. Dr. Aldurra warned that things

       could get worse with Sam.


                                                         8
¶ 33           Dr. Wahlstrom testified that he also reviewed three letters that Sam had obtained from a

       “Dr. Agaiby” in March and November of 2012. In the letters, Dr. Agaiby claimed that she had

       been following Sam’s condition and that Sam was complying with his medication and

       improving. However, Sam and his brother told Dr. Wahlstrom that Sam had lied to Dr. Agaiby to

       get the letters because he needed a doctor to verify that he was taking his medications, which was

       a condition of Sam’s court supervision for a prior act of domestic battery Sam had committed

       against Nermeen. 1 The letters appeared to be fabricated. It did not appear to Dr. Wahlstrom that

       Dr. Agaiby had evaluated Sam. Dr. Wahlstrom tried to contact Dr. Agaiby about the letters, but

       he was unable to because Dr. Agaiby had retained a lawyer prior to Sam’s trial who informed

       Sam’s attorney that Dr. Agaiby intended to invoke the Fifth Amendment and would not

       cooperate in Sam’s case.

¶ 34           Dr. Wahlstrom also reviewed a letter that Sam wrote to his family from jail in March of

       2013 after his arrest. At that time, Sam was receiving only antidepressant medication, not

       antipsychotic medication. In his letter, Sam mentioned that “Judas” was poisoning his food, he

       was not sleeping, and he did not understand what was going on. Dr. Wahlstrom opined that the

       letter showed that Sam’s psychosis was still present at that time.

¶ 35           When Dr. Wahlstrom examined Sam in March of 2014, Sam told him that he had thrown

       the medication Dr. Aldurra had given him in the garbage. The medication caused Sam to have

       tremors in his hands, and Sam did not believe that he needed the medication.

¶ 36           When Dr. Wahlstrom asked Sam if he knew that killing Nermeen was wrong, Sam told

       Dr. Wahlstrom that he never thought about killing Nermeen and did not know how or why he got


               1
                Sam committed at least two prior instances of domestic violence against Nermeen. One
       occurred in 2005 and the other in June of 2012. Sam pled guilty to battery against Nermeen in the 2012
       case and was sentenced to one year of supervision.
                                                          9
       the bar or why he killed her. Sam said he did not “feel anything” until after the police came and

       arrested him.

¶ 37          Sam told Dr. Wahlstrom that he had no memory of ever having moved Nermeen’s body

       after the beating and he only recalled hitting her once or twice. Dr. Wahlstrom testified that a

       severe psychotic episode could alter one’s memory, and the fact that Sam did not remember

       those things could be indicative of psychosis.

¶ 38           Sam told Dr. Wahlstrom that he had been hearing voices prior to April or May of 2011.

       Sam said that these voices told him that he was going to lose his business. Sam could not

       remember whether he heard voices in 2012. Dr. Aldurra’s records indicated that Sam was

       responding to internal stimuli at the time, which could indicate hearing voices.

¶ 39          Dr. Wahlstrom also reviewed Sam’s videotaped interrogation with detectives. Dr.

       Wahlstrom opined that Sam displayed thought-processing disturbance at times during the

       interview. For example, Sam kept repeating the same question, asking detectives whether

       Nermeen had passed away even after the detectives told him she was dead.

¶ 40          Dr. Wahlstrom further testified that the fact that Sam was covered in blood and made no

       attempt to clean himself or to conceal anything after the murder was significant to Dr.

       Wahlstrom’s insanity determination. Also, although Nermeen’s body was found underneath a

       tree, the body was not concealed. Dr. Wahlstrom took this as evidence that Sam was “mentally

       disorganized” at the time of the offense.

¶ 41          The defense also called Father Yohanna Meshreki, a priest and retired anesthesiologist,

       who met with Sam more than a year before the offense. Father Meshreki testified that Sam’s

       brother and sister brought Sam to him in April or May of 2011 looking for help. Father

       Meshreki met with Sam for more than two hours. Sam was unstable and weeping a lot during


                                                        10
       their conversation. Sam was not communicating well, he kept changing his mind, and he was

       confused and not composed. Sam’s whole life seemed to be in turmoil. He was stressed and was

       having problems with his wife, his job, and his finances. Father Meshreki worried that Sam

       could not bear the pressure. It was clear to Father Meshreki that Sam’s mind was “not healthy”

       and that Sam needed the help of a psychiatrist. Father Meshreki prayed with Sam and tried to

       convince him to seek the help of a psychiatrist. He also informed Sam’s brother and sister that

       Sam needed psychiatric help.

¶ 42          The State called Dr. Randi Zoot, a forensic psychologist, as an expert. Dr. Zoot had

       worked with criminals in jail and prison settings for more than 30 years. She spent six years

       leading the mental health unit at Stateville Prison, and was later hired to provide all the fitness

       and sanity evaluations for the criminal division of the Will County Circuit Court.

¶ 43          Dr. Zoot performed a fitness evaluation of Sam in 2013 and drafted a written report of her

       evaluation. In preparing her report, Dr. Zoot personally examined Sam and reviewed his medical

       records, including Dr. Aldurra’s records and the Will County Adult Detention Center medical

       records from December 27, 2012, through the date of Dr. Zoot’s examination. She also reviewed

       all police reports related to the case and to the domestic violence incident in June 2012, among

       other materials. Dr. Zoot found Sam’s mood to be “unremarkable” during the examination. She

       concluded that Sam suffered from depression, but that he was doing better with medication

       treatment.

¶ 44          Dr. Zoot stated in her report that Sam had seen a psychiatrist, Dr. Aldurra, from March

       2011 through March of 2012, who diagnosed Sam with major affective disorder, single episode

       severe, and prescribed numerous psychotropic medications. Nermeen expressed concern that

       Sam was not acting like himself. Sam told Dr. Aldurra that he was fine, he was not suffering


                                                        11
       from depression, and he did not want to take the prescribed medications. Dr. Aldurra noted early

       on that Sam appeared to respond to internal stimuli (i.e., hallucinations). Dr. Aldurra prescribed

       medication, but Sam was not compliant with the medications.

¶ 45          When Dr. Zoot interviewed Sam, he told her that he had been in the United States for 15

       years and had a bachelor’s degree in education and accounting from Egypt. Sam had worked as

       a high school teacher in Egypt, but since coming to the United States he had primarily worked as

       a cook in restaurants until his brother opened a restaurant and put him in charge as the manager.

       Sam reported that his problems began after his mother-in-law started putting medication into his

       food to prevent him from sleeping at night. He believed his mother-in-law wanted his business

       to fail, and he complained to Dr. Aldurra that he was not able to sleep and could not work.

¶ 46          Sam did not want to talk about the murder, but he knew that he was in jail because he

       killed his wife. When Dr. Zoot asked Sam about his being arrested, he told her that he had not

       been arrested. Dr. Zoot saw no evidence that Sam was having hallucinations. When she asked

       Sam about past hallucinations, he neither denied or affirmed that he had experienced them.

       During her testimony, however, Dr. Zoot acknowledged that Sam might have been experiencing

       hallucinations during the period he was treating with Dr. Aldurra.

¶ 47          Dr. Zoot concluded that Sam was depressed and that he may have had some psychotic

       features prior to the offense. However, she opined that there was no connection between Sam’s

       previous psychotic features and the offense. Dr. Zoot concluded that, although Sam may have

       been depressed and harboring notions about his mother-in-law putting something in his food,

       there was no way to determine whether the symptoms noted by Dr. Aldurra in March 2012 (and

       beforehand) were present at the time of the offense.




                                                       12
¶ 48          In October of 2014, Dr. Zoot interviewed Sam a second time to assess his mental state at

       the time he killed Nermeen. Dr. Zoot authored a second written report detailing her conclusions.

       In preparing that report, Dr. Zoot again reviewed the police reports and grand jury transcripts in

       the murder case, the police report from the June 2012 domestic violence incident, the coroner’s

       report, detention facility records, and letters from Dr. Agaiby related to Sam’s domestic violence

       counseling. In addition, Dr. Zoot reviewed medical records from Sam’s stay at Loyola, Dr.

       Aldurra’s medical records, and the records of Dr. Jan Stampley, the psychiatrist who interviewed

       Sam in jail after his arrest. Dr. Zoot also reviewed Dr. Wahlstrom’s evaluation and her own

       records relating to her previous examination and assessment of Sam. Based on her review of

       these materials and her second interview with Sam, Dr. Zoot opined that Sam was not insane at

       the time he killed Nermeen.

¶ 49          Dr. Zoot noted that, beginning in March 2011, Sam was diagnosed with insomnia and

       major affective disorder, single episode severe, after he began showing psychiatric symptoms, as

       reported by his family. Sam told Dr. Zoot that his mother-in-law was the cause of his mental

       problems because she was putting things in his food that caused him not to sleep and not to

       function well. Dr. Zoot noted that, when Sam saw an emergency room physician and a

       psychiatrist at Loyola, the primary diagnosis was insomnia. There was no mention of psychosis

       or delusions in the Loyola medical reports at that time.

¶ 50          Dr. Zoot testified that, during her second interview with Sam, Sam initially told her that

       he and his wife never argued. He said that he and Nermeen “hugged each other,” and “talked

       about everything.” Although Sam later acknowledged that he and Nermeen had had arguments

       and fights, he stressed that they got along well and were in love. Dr. Zoot characterized Sam’s

       initial denial of the arguments with Nermeen as “simply evasive.” Dr. Zoot concluded that Sam


                                                       13
       was trying to give her the impression that there was never any conflict or physical violence

       between Sam and his wife, and he was trying to evade the notion that he had battered Nermeen

       in the past.

¶ 51           Dr. Zoot found no evidence that Sam harbored any delusional notions regarding Nermeen

       or was otherwise delusional on the day he killed Nermeen. Sam repeatedly described his

       emotions on that day “as being upset and enraged that [Nermeen] was putting him down” by

       insulting his manhood. Dr. Zoot opined that, although Sam was “certainly depressed and may

       still have had lingering thoughts about his mother-in-law” at the time he killed Nermeen, “[t]here

       was never anything to suggest at that time that there was a serious psychosis or anything that was

       involving [Nermeen] and specific beliefs about her.”

¶ 52           Dr. Zoot also reviewed the video of Sam’s interview with the police on the day of the

       offense. She found Sam’s behavior during that interview to be “appropriate for the situation and

       the questions he was being asked.” Dr. Zoot did not believe that any of Sam’s statements during

       the interview suggested that Sam was insane. In her view, Sam’s account of being scared and

       lying down on the floor after killing Nermeen merely showed that Sam was aware that he had

       just killed his wife and was waiting for the police to arrive. Moreover, the fact that Sam did not

       flee or clean himself up after the killing Nermeen merely indicated that he was overwhelmed and

       possibly in shock over what had occurred, and he “didn’t have much ability to plan beyond that”

       because the killing was not premedicated. Further, Dr. Zoot concluded that Sam’s statements to

       the detectives that he was going to “lose everything” suggested that he knew his wife was either

       severely injured or had died as a result of his actions. In addition, Dr. Zoot noted that Sam

       initially told the detectives that the blood on his clothes was from when Nermeen bit him, which

       showed lying and deceitfulness.


                                                       14
¶ 53            In further support of her opinion that Sam was not insane at the time of the offense, Dr.

       Zoot relied substantially upon Dr. Stampley’s report because Dr. Stampley had interviewed and

       evaluated Sam in jail two weeks after Sam was arrested. Dr. Zoot noted that Dr. Stampley did

       not state in his report that Sam was experiencing any delusions or hallucinations at that time. Dr.

       Zoot found it significant that Dr. Stampley diagnosed Sam as suffering only from a depressive

       order and did not place Sam in the medical unit or prescribe any antipsychotic medication while

       Sam was in jail.

¶ 54            Dr. Zoot acknowledged that Sam “did suffer from a serious illness” in that “he was

       depressed and there had been some psychotic features.” However, she opined that Sam’s mental

       illness did not substantially diminish his capacity to understand the wrongfulness and criminality

       of his conduct. Dr. Zoot found no evidence that any symptoms of psychosis that Sam may have

       exhibited two years prior to the offense (such as delusions or hallucinations) were present at or

       near the time of the offense. Accordingly, Dr. Zoot did not believe there was any connection

       between Sam’s killing Nermeen and his earlier psychotic issues.

¶ 55            On cross-examination, Dr. Zoot was asked about the letters that Dr. Agaiby sent to Sam.

       Dr. Zoot admitted that she had considered the letters in formulating her opinions of Sam’s mental

       state and had placed some reliance on them before she learned that they were unreliable and

       possibly fabricated. Although she testified that the letters were not a “big part” of what she

       relied upon in determining Sam’s mental state, Dr. Zoot opined that the letters from Dr. Agaiby

       were significant because they showed that Sam was being deceitful and was “clever” enough to

       try to keep himself out of trouble with the courts. According to Dr. Zoot, Sam’s actions in trying

       to protect himself and stay out of trouble showed that he was “tracking reasonably well in that

       area.”


                                                        15
¶ 56          Dr. Zoot reiterated that, although she did not believe that Sam was insane at the time he

       killed Nermeen, she did believe he was mentally ill at that time. Sam’s counsel asked Dr. Zoot

       whether this meant that Sam was “afflicted with a substantial disorder of thought, mood or

       behavior which impaired his judgment.” Dr. Zoot responded, “yes.”

¶ 57          The State also called Dr. Stampley. Dr. Stampley testified that he met with Sam for 20-

       25 minutes two weeks after the offense. Sam was alert, oriented to time, place and person, well-

       kept and well-groomed, and his speech pattern was clear and coherent. Dr. Stampley opined that,

       although Sam’s mood was somewhat depressed and he seemed suspicious and guarded, there

       was no evidence of psychosis. Sam denied experiencing what Dr. Stampley would consider to

       be the symptoms of psychosis. Sam told Dr. Stampley that, prior to his arrest, he had been

       prescribed Risperdal (an antipsychotic medication) and Effexor (an antidepressant), but he had

       not taken either of these medications for several months prior to his arrest.

¶ 58          Dr. Stampley believed that Sam was suffering from a mental illness that needed to be

       treated. He diagnosed Sam with depressive disorder and recommended he continue taking the

       Effexor. He placed Sam in general prison population.

¶ 59          Dr. Stampley testified that it was not his job to determine Sam’s state of mind at the time

       of the offense. Accordingly, Dr. Stampley did not review Sam’s prior medical records or any of

       the police reports.

¶ 60          Sam and Nermeen’s daughter Marina, who was 18 at the time of trial, testified as to two

       prior incidents when Sam had physically abused Nermeen. On June 27, 2012, Marina saw Sam

       hit, slap, punch, and bite Nermeen during a fight. The police were called and they came to the

       house after the incident. Marina further testified that, sometime in 2010 or 2011, she saw Sam




                                                        16
       choking Nermeen with a cable wrapped around her neck. Marina screamed at Sam to stop,

       which he did.

¶ 61          After the State rested its rebuttal case, the prosecutor informed the court of his intention

       to replay “most of” Sam’s videotaped statement during his closing argument. The prosecutor

       argued that Sam’s “demeanor on that tape is the best evidence of his intent or his mental state.”

       Sam’s counsel objected, arguing that replaying of Sam’s videotaped statement during closing

       argument would unduly emphasize that single piece of evidence. Over Sam’s counsel’s

       objection, the court allowed the prosecutor to play 40 minutes of the tape during his closing

       argument.

¶ 62          During his closing argument, the prosecutor contended that Sam killed Nermeen because

       he was angry, and that the offense had nothing to do with Sam’s mental illness. The prosecutor

       played the selected portion of Sam’s videotaped statement and told the jury that it should find

       Sam guilty of first-degree murder and reject Sam’s arguments that he was not guilty by reason of

       insanity or GBMI.

¶ 63          During his rebuttal closing argument, the prosecutor asserted that Dr. Zoot had testified

       that Sam’s mental illness did not impair his judgment at the time of the offense. Sam’s counsel

       objected, arguing that the prosecutor misstated the evidence. In response to the objection, the

       court told the jury, “you have heard the evidence. Go ahead.”

¶ 64          During his closing argument, Sam’s counsel argued that Sam was insane at the time of

       the offense. In the alternative, he argued that the evidence was sufficient to justify a finding of

       GBMI because Dr. Zoot, the State’s own expert, had agreed that Sam suffered from a mental

       illness that impaired his judgment at the time of the offense.




                                                        17
¶ 65          The jurors received four verdict forms – not guilty of first-degree murder, GBMI, not

       guilty by reason of insanity, and guilty of first-degree murder. The trial court instructed the jury

       on the elements of first-degree murder, the insanity defense, and GBMI pursuant to section 6-2

       of the Criminal Code (Code) (720 ILCS 5/6-2) (West 2012). The jury instructions stated that a

       person is insane and not criminally responsible for his conduct if, “at the time of [the] conduct,

       as a result of mental disease or mental defect, he lacks substantial capacity to appreciate the

       criminality of his conduct.” 720 ILCS 5/6-2(a) (West 2018). The instructions noted that it was

       the defendant’s burden to prove the insanity defense by clear and convincing evidence. 720

       ILCS 5/6-2(e) (West 2018).

¶ 66          The instructions further provided that a person may be found guilty but mentally ill and is

       not relieved of criminal responsibility for his conduct if, at the time of the commission of the

       offense, he was not insane but was suffering from a mental illness. 720 ILCS 5/6-2(a) (West

       2018). The instructions stated that a person is “mentally ill” if, at the time of the commission the

       offense, he was afflicted by a substantial disorder of thought, mood, or behavior which impaired

       his judgment, but not to the extent that he was unable to appreciate the wrongfulness of his

       behavior.” 720 ILCS 5/6-2(d) (West 2018).

¶ 67          During its deliberations, the jury sent out a note asking the trial court to “clarify last

       sentence Mentally Ill - but not to the extent that he was unable to appreciate the wrongfulness of

       his behavior.” On the agreement of the parties, the court responded to the jury’s request with a

       note that stated, “[y]ou have received all of the jury instructions. Please continue to deliberate.”

       The jury found Sam guilty of first-degree murder.

¶ 68          In its post-trial motion, the defense argued that he was entitled to a new trial because 1) the

       prosecutor had misstated Dr. Zoot’s testimony regarding Sam’s mental illness, 2) the prosecutor


                                                        18
       made several other improper and prejudicial comments during opening statements and rebuttal

       closing arguments, and 3) the trial court erred in allowing the State to replay Sam’s videotaped

       confession in closing argument.

¶ 69          In denying Sam’s counsel’s motion, the court stated, in pertinent part:

              “[The jury] gave careful consideration to all the testimony. They -- I mean they

              maybe they didn’t believe the expert, or maybe the videotaped statement of your

              client was so compelling on all the issues when it was weighed against any of the

              expert testimony.”

¶ 70          Sam was sentenced to 29 years’ imprisonment.

¶ 71          This appeal followed

¶ 72                                            II. ANALYSIS

¶ 73                               A. The Prosecutor’s Improper Comments

¶ 74          Sam argues that the prosecutor made several improper comments during trial and closing

       arguments that deprived him of a fair trial. Specifically, Sam contends that the prosecutor: 1)

       misstated critical evidence, 2) misled the jury in various respects, 3) repeatedly expressed his

       personal opinions, 4) disparaged Sam’s defense attorneys, 5) continued to make improper

       statements and arguments after the trial court had sustained Sam’s objections to them, and 6)

       violated a pre-trial ruling barring the State from referencing the fact that Sam was on supervision

       for a prior act of domestic battery against Nermeen at the time of the murder. Sam maintains

       that he was substantially prejudiced by each of these improper acts, particularly given the

       closeness of the evidence as to his mental state at the time of the murder. He asks us to reverse

       his conviction and remand for a new trial.




                                                       19
¶ 75          A defendant has the right to a trial free from improper prejudicial comments or arguments

       by the prosecutor. People v. Pasch, 152 Ill. 2d 133, 184 (1992). A prosecutor is allowed a great

       deal of latitude in making his closing argument. Id. The prosecutor may comment on the

       evidence and draw any legitimate inferences from the facts in evidence, even if they are

       unfavorable to the defendant. People v. Herndon, 2015 IL App (1st) 123375, ¶ 36. However, a

       prosecutor must confine his arguments to the evidence and reasonable inferences that can be

       drawn from the evidence. People v. Linscott, 142 Ill. 2d 22 (1991); People v. McCullom, 239 Ill.

       App. 3d 593, 596 (1992). Prosecutors are prohibited from making comments not based upon, or

       misstating, the evidence. Linscott, 142 Ill. 2d 22 (1991); People v. Starks, 287 Ill. App. 3d 1035,

       1042 (1997).

       ¶ 76       Improper comments or erroneous statements made by a prosecutor during closing

       argument warrant reversal if they caused substantial prejudice to the defendant, taking into

       account the content and context of the improper comments, their relationship to the evidence,

       and their effect on the defendant's right to a fair and impartial trial. Herndon, 2015 IL App (1st)

       123375, ¶ 36. Reversal is warranted if the improper remarks constituted a material factor in a

       defendant's conviction. People v. Wheeler, 226 Ill. 2d 92, 121 (2007); Linscott, 142 Ill. 2d 22, 28

       (1991). If the jury could have reached a contrary verdict had the improper remarks not been

       made, or if the reviewing court cannot say that the prosecutor's improper remarks did not

       contribute to the defendant's conviction, a new trial should be granted. Wheeler, 226 Ill. 2d 92.

¶ 77          In determining whether a trial court's decision to overrule a defendant's objection to a

       prosecutorial comment in closing argument is reversible error, a reviewing court must engage in

       a two-step process. People v. Williams, 2022 IL 126918, ¶ 41. First, the reviewing court must

       determine whether the comment was improper. Id. If so, the court must then determine whether


                                                        20
       the improper comment was so prejudicial that real justice was denied or the verdict resulted from

       the error. Id. A trial court's decision to overrule an objection to a comment in prosecutorial

       closing argument will not be overturned absent an abuse of discretion.

¶ 78                                    1. Misstatement of the Evidence

¶ 79          Sam argues that the prosecutor misstated portions of Dr. Zoot’s and Dr. Stampley’s

       testimony addressing Sam’s mental illness and need for treatment. Sam maintains that this

       testimony was critical to the determination of whether he was either insane or GBMI at the time

       of the offense. We will address Sam’s contentions as to each witness in turn.

¶ 80                                                Dr. Zoot

¶ 81          To establish that he was GBMI, Sam needed to prove by a preponderance of the evidence

       that, at the time of the offense, he was afflicted by a “mental illness,” which the statute defines as

       a “substantial disorder of thought, mood, or behavior that impaired his judgment.” (Emphasis

       added.) 720 ILCS 5/6-2(a) (West 2018). During cross-examination, Dr. Zoot essentially

       conceded that Sam was mentally ill by that definition:

¶ 82          “Q Now, you have agreed that based in your assessment that Mr. Sam was mentally ill at

              the time of this offense, correct?

¶ 83          A Yes.

¶ 84          Q And being mentally means that he would be afflicted with a substantial disorder of

              thought, mood or behavior which impaired his judgment, correct?

¶ 85          A Yes.” (Emphasis added.)

¶ 86          Nevertheless, during his rebuttal closing argument, the prosecutor erroneously told the

       jury that Dr. Zoot had not made this pivotal concession. Although he acknowledged Dr. Zoot’s

       opinion that Sam suffered from depression at the time of the offense, the prosecutor asserted that


                                                        21
       “Dr. Zoot didn’t say it impaired his judgment.” (Emphasis added.) Sam’s counsel immediately

       objected, stating that he had “asked Dr. Zoot that specific question including impairment of

       judgment,” and that Dr. Zoot had “answered in the affirmative that that’s exactly what her

       opinion was.” In response to this objection, the trial court merely stated to the jury, “[l]adies and

       gentlemen, you have heard the evidence. Go ahead.”

¶ 87               The trial court abused its discretion by failing to grant Sam’s counsel’s objection.

       The prosecutor flatly misrepresented Dr. Zoot’s opinion testimony as to Sam’s mental state at the

       time of the murder, which was the ultimate issue in the case. By opining that Sam suffered from

       a substantial mood disorder (depression) that impaired his judgment, Dr. Zoot acknowledged that

       Sam satisfied the statutory criteria for GBMI. The fact that the State’s own expert rendered this

       opinion was critical and uniquely powerful evidence that, had it not been improperly negated by

       the prosecutor, might well have convinced the jury that Sam was GBMI.

¶ 88               The prosecutor’s complete mischaracterization of Dr. Zoot’s opinion was particularly

       prejudicial because it occurred during the prosecutor’s rebuttal argument, leaving Sam’s counsel

       with no opportunity to correct it before the jury began deliberations. People v. Green, 209 Ill.

       App. 3d 233, 245 (1991) (“It is critical, during rebuttal argument, that the prosecuting attorney

       not make improper arguments or assumptions not based on the evidence since, at that point, the

       defense is without opportunity to respond.”); see also People v. Escobar, 77 Ill. App. 3d 169

       (1979). The prosecutor’s misrepresentation of crucial, potentially dispositive testimony by the

       State's expert witness as to the issue of GBMI was the last thing the jury heard from the attorneys

       on that issue.

¶ 89               Dr. Wahlstrom opined that Sam was insane at the time of the offense, and Dr. Zoot

       opined that Sam had a substantial mood disorder that impaired his judgment at the time. Neither



                                                        22
       of these opinions supported the jury’s verdict. In fact, both opinions, which were the only expert

       opinions on Sam’s mental state presented in the case, strongly suggested that Sam was, at a

       minimum, GBMI. The evidence to the contrary was not overwhelming. Accordingly, the

       prosecutor’s mischaracterization of Dr. Zoot’s testimony was extremely and unfairly prejudicial

       to the defense.

¶ 90              The trial court’s failure to sustain Sam’s counsel’s objection or to give a limiting

       instruction lent an air of legitimacy to the prosecutor’s characterization of Dr. Zoot’s opinion and

       allowed the jury to conclude that Dr. Zoot’s opinion supported the State’s case, rather than

       defense’s case, as to one of the ultimate issues presented in the case. It is possible (indeed,

       likely), that this contributed substantially to the jury’s finding that Sam was not GBMI at the

       time of the murder. This seems even more likely given that the jury asked the trial court to

       clarify the GBMI instruction during deliberations, suggesting that it was struggling to determine

       whether the evidence supported a finding of GBMI. The prosecutor’s improper misstatement of

       the crucial evidence on this issue was so prejudicial that real justice was denied. For this reason

       alone, Sam is entitled to a new trial. People v. Williams, 2022 IL 126918, ¶ 41; Wheeler, 226 Ill.

       2d 92.

¶ 91              The State argues that Dr. Zoot’s testimony merely established that Sam had a mental

       illness in the general sense of the term, not that he had the type of mental illness necessary to

       support a finding of GBMI. That is not the case. Sam’s counsel asked Dr. Zoot questions that

       tracked the statutory criteria for GBMI word for word. Dr. Zoot agreed that Sam had the exact

       mental state that the statute defines as GBMI.

¶ 92              The State further argues that Dr. Zoot was “steadfast” throughout her report and

       testimony that Sam was not insane at the time of the murder and was able to appreciate the



                                                        23
       criminality of his actions. That is a red herring. The relevant issue is whether Sam had the

       requisite mental state for GBMI, not insanity. In the portion of her testimony referenced above,

       Dr. Zoot clearly indicated that Sam had that mental state.

¶ 93                                            Dr. Stampley

¶ 94              Sam further argues that the prosecutor severely prejudiced his defense by misstating

       Dr. Stampley’s testimony in a critical respect. During his rebuttal closing argument, the

       prosecutor stated that Dr. Stampley, who interviewed Sam in prison shortly after the offense,

       concluded that Sam did not need medical treatment. Contrary to the prosecutor’s assertion, Dr.

       Stampley explicitly testified that he believed that Sam “was suffering from a mental illness that

       did need to be treated and then treated appropriately through the use of [antidepressant]

       medication.” (Emphasis added.) Accordingly, Dr. Stampley decided to continue Sam on

       Effexor.

¶ 95              Sam’s counsel immediately objected to the prosecutor’s misstatement of Dr.

       Stampley’s testimony. The following exchange took place before the jury:

                  State: “Dr. Stampley, again the doctor who interviewed [Sam] closest in time to the

                  offense, stated that [Sam] didn’t need mental health treatment. He also stated that the

                  defendant asked him--

                  Defense: Objection, judge. That’s decisively not true. He said he was mentally

                  ill and needed treatment and prescribed medication.


                  State: I would submit to you that he said—


                  Court: Hold on. I am going to sustain the objection.




                                                       24
                  State: He said he needed mental—I am sorry. He said he had a mental illness,

                  but he did not say he needed mental treatment. In fact, he said—


                  Defense: Objection, judge. That’s not true. He did say—The treatment was

                  the medication. That’s what he said.


                  Court: I guess we are splitting hairs now. Let’s move on.

¶ 96              The prosecutor’s misstatement of Dr. Stampley’s testimony was substantially

       prejudicial to Sam’s defense. Dr. Zoot testified at trial that she had relied heavily on Dr.

       Stampley’s conclusions in formulating her opinion as to Sam’s mental state at the time of the

       offense because Dr. Stampley had evaluated Sam close in time to the offense. Likewise, the

       prosecutor repeatedly argued that Dr. Stampley’s conclusions were particularly important

       because Dr. Stampley had evaluated Sam’s mental state only two weeks after the offense. This

       encouraged the jury to accord substantial weight to Dr. Stampley’s testimony. If the jurors

       believed that Dr. Stampley had concluded that Sam did not need any mental health treatment, as

       the prosecutor falsely asserted, this likely contributed to their finding that Sam was neither

       insane nor GBMI at the time of the offense.

¶ 97              The trial court’s response to the Sam’s counsel’s objections only exacerbated the

       problem. After the trial court sustained Sam’s counsel’s initial objection, the prosecutor

       persisted with the same improper argument and told the jury a second time that Dr. Stampley

       “did not say [Sam] needed mental treatment.” When the Sam’s counsel objected again, the trial

       court did not sustain the objection. Instead, the court trivialized Sam’s counsel’s objection by

       characterizing it as “splitting hairs.” This effectively removed any salutary effect of the court’s

       prior ruling and suggested that Sam’s counsel’s objection amounted to nothing more than nit-



                                                        25
       picking. The trial court’s statement conveyed the impression that the prosecutor’s

       characterization of Dr. Stampley’s opinion was largely accurate, even if it might have been

       inaccurate in some irrelevant or insignificant respect. The trial court’s failure to sustain Sam’s

       counsel’s objection clearly and unequivocally after the prosecutor’s repeated misstatement of

       critical evidence, and its suggestion that the objection was trivial, was an abuse of discretion.

¶ 98              The State argues that any potential prejudice caused by the prosecutor’s misstatement

       was cured because the trial court had sustained Sam’s counsel’s initial objection and allowed

       Sam’s counsel to inform the jury that 1) the prosecutor’s statement was “decisively not true” and

       2) Dr. Stampley had concluded that Sam “was mentally ill and needed treatment and prescribed

       medication.” We disagree. As noted, the trial court did not sustain Sam’s counsel’s second

       objection, which was made after the prosecutor had repeated his mischaracterization of Dr.

       Stampley’s testimony. Instead, it stated that the Sam’s counsel was merely “splitting hairs.”

       Given the importance of Dr. Stampley’s testimony as to Sam’s need for treatment, the

       prosecutor’s misstatement was highly prejudicial to Sam, and the trial court did nothing to cure

       or mitigate the harm.

¶ 99              The State further argues that the effect of the prosecutor’s misstatement was

       “negligible at best” because Dr. Stampley’s opinion “was not consequential on the issue of

       [Sam’s] mental health.” In support of this contention, the State notes that: (1) Dr. Stampley

       interviewed Sam for only 20 to 25 minutes; (2) the interview was conducted “for the purpose of

       determining whether [Sam] should remain in the general [prison] population or be moved to the

       medical unit, not for the purpose of determining his sanity”; and (3) the interview occurred

       approximately two weeks after the offense, not immediately afterwards.




                                                        26
¶ 100              However, the State took the exact opposite position at trial. At trial, the prosecutor

        suggested that, among the many mental health professionals who had evaluated Sam before and

        after the offense, Dr. Stampley’s assessment of Sam was the most important since Dr. Stampley

        had evaluated Sam closest in time to the offense. In his rebuttal closing argument, the prosecutor

        again stressed that “[Dr. Stampley] is the doctor that interviewed him closest in time to the date

        of offense. He didn’t interview him nine months, six months, a year earlier. He was within a few

        weeks of the time of the offense.” As noted, this encouraged the jury to place particular weight

        on Dr. Stampley’s testimony. Thus, the prosecutor’s misrepresentation of Dr. Stampley’s

        testimony likely loomed large in the jurors’ minds. Moreover, the fact that the prosecutor’s

        misrepresentation occurred during his rebuttal closing argument only increased its prejudicial

        effect because it left Sam’s counsel with no opportunity to respond. See Green, 209 Ill. App. 3d

        at 245.

¶ 101              In a further attempt to minimize the impact of the prosecutor’s misstatement, the State

        argues that Dr. Stampley prescribed antidepressant medication only because Sam had asked for

        it. The State maintains that Dr. Stampley was merely “acquiescing” to Sam’s request to continue

        taking Effexor. We find this argument unpersuasive. The claim that Dr. Stampley would have

        prescribed medication to a patient simply because the patient wanted it, regardless of whether the

        medication was necessary or appropriate to treat the patient’s diagnosed condition, strains

        credulity. In any event, the State’s argument is belied by the record. Dr. Stampley specifically

        testified that he “thought that [Effexor] was appropriate so [he] decided to prescribe it,” and that

        he “believed that the [Effexor] medication at that time was appropriate.” The State

        acknowledges these statements in its brief. The record clearly shows that, in the exercise of his

        medical judgment, Dr. Stampley concluded that Sam needed mental health treatment, and he



                                                         27
        prescribed Effexor not because defendant requested it but because Dr. Stampley believed it was

        an appropriate treatment for Sam’s illness.

¶ 102                                  Loyola Medical Center Records

¶ 103              Sam further argues that the prosecutor confused and misled the jury during his

        closing argument by arguing that the jury could infer Sam’s sanity from the fact that health care

        workers who treated Sam at Loyola Hospital never said that Sam was “insane.”

¶ 104              In March of 2011, one-and-a-half years prior to the offense, Sam’s sister and brother

        took Sam to the emergency room at Loyola Hospital and told the hospital staff that Sam was not

        sleeping, that he was confused and stressed, and that he was repeating himself. Among those

        who treated Sam at Loyola were Dr. Robert Riggs (the emergency room doctor), Monica Regotti

        (a nurse), and Dr. Matthew Niedzwiecki (a psychiatrist) (collectively, “the Loyola treaters”). Dr.

        Wahlstrom relied on the Loyola treaters’ medical records in determining Sam’s mental state at

        the time they saw him in March 2011. None of the Loyola treaters used the word “insane” to

        describe Sam’s mental condition.

¶ 105              During his closing argument, the prosecutor urged the jury to infer that Sam was not

        insane because the word “insane” did not appear in the Loyola treaters’ medical records and

        because Sam did not call any of the Loyola treaters as witnesses to support his argument that he

        was insane:

                   [State]: “He talked about things that Dr. Robert Riggs, M.D., said. States, ready

                         to go home, stable for discharge. No words of insanity. Remember the

                         defendant kept saying to our doctor, where does it say anger, a-n-g-e-r.

                         Well, I don’t see i-n-s-a-n-e. I don’t see anything about insane. Maybe

                         we could have called him. He works at Loyola Hospital right here.



                                                        28
                         How about Monica [Regotti]? She met with the defendant. That was

                         brought out on examination from defense. Yeah. Monica Regotti, about

                         him being nervous and anxious, so forth. We didn’t hear anything. She

                         works at Loyola, too, in Chicago.

                         How about the psychiatrist? I am not going to attempt to pronounce his

                         name, Matthew [Niedzwiecki], medical doctor, psychiatrist. Spoke with

                         the defendant. These were admitted. He is appropriate and linear in his

                         thought form on questioning. If you want to find out somehow that is

                         insane, let’s get him here.

¶ 106            Sam’s counsel immediately objected, noting that none of the Loyola treaters had

        evaluated Sam for insanity. The prosecutor responded that his argument was not improper

        because “they are psychiatrists” and “nowhere does it say anything about being insane.” The

        trial court did not sustain Sam’s counsel’s objection. Instead, it merely told the jury that “the

        State and the defense have a right to argue the reasonable inferences. If you don’t believe that

        they are reasonable, feel free to disregard them.”

¶ 107            The prosecutor’s argument on this issue was improper and misleading. Aside from Drs.

        Wahlstrom and Zoot, no psychiatrist, medical doctor, or other health care professional evaluated

        Sam for the purpose of determining whether he was “insane.” None of the Loyola treaters

        opined on that issue. There was no reason for them to do so when they evaluated Sam a year and

        a half before Sam killed Nermeen. Whether someone is “insane” is a legal question that arises

        only after a criminal offense has been committed. See People v. Kando, 397 Ill. App. 3d 165,

        193 (2009). A psychiatric evaluation for “insanity” is conducted for the purpose of determining

        whether a criminal defendant satisfies the legal definition of insanity, i.e. whether the defendant


                                                         29
        has a mental disease or defect that renders him incapable of appreciating the criminality of his

        conduct. 720 ILCS 5/6-2 (West 2012). The prosecutor’s suggestion that Sam’s sanity could be

        inferred from the fact that the Loyola treaters did not label Sam “insane” in their treatment

        records was improper and severely prejudicial to Sam. It falsely suggested that medical

        professionals aside from Dr. Zoot, including a psychiatrist, had reached the conclusion that Sam

        was sane under the legal definition of the term, which was the ultimate issue in the case.

¶ 108          The trial court’s response to Sam’s counsel’s objection increased the prejudicial impact

        of the prosecutor’s improper argument. The trial court merely told the jury that the parties had

        the right to argue “reasonable inferences,” and that the jury was “free to disregard” arguments or

        inferences that it did not find to be reasonable. Nothing in the trial court’s comment suggested

        that the prosecutor’s argument was improper, that the inference the prosecutor was asking the

        jurors to draw from the evidence was unreasonable, or that the jurors were required to disregard

        the prosecutor’s argument. The trial court took a neutral position and told the jury that it was up

        to them to decide whether the prosecutor’s argument was reasonable and persuasive. Essentially,

        the trial court overruled Sam’s counsel’s objection and told the jury that the prosecutor’s

        argument was fair game, thereby aggravating the prejudice to Sam’s defense. People v. Tipton,

        222 Ill. App. 3d 657, 662 (1991) (by overruling Sam’s counsel’s objection, “the court gave the

        jury the impression that the prosecutor’s remark was proper”); People v. Kidd, 147 Ill. 2d 510,

        544 (1992) (the trial court “only exacerbate[s] the harm” by overruling counsel’s objection to

        prosecutor’s improper remarks). This amounted to an abuse of discretion by the trial court.

        Contrary to the State’s argument on appeal, nothing in the trial court’s comments cured or

        mitigated the prejudicial impact of the prosecutor’s improper argument. To the contrary, the trial

        court only exacerbated the harm.


                                                        30
¶ 109          The State further contends that the prosecutor’s argument on this issue was proper

        because Sam “opened the door” by introducing the Loyola treaters’ records and using them to

        support his theory of the case. We disagree. Sam relied upon the Loyola treaters’ records (and

        on Dr. Wahlstrom’s opinions as to what those records demonstrated) to establish Sam’s mental

        state in March of 2011. This opened the door for the prosecutor to make arguments about what

        the Loyola treaters had concluded about Sam’s mental state in March 2011, and the relevance of

        their opinions or diagnoses to Sam’s mental state at the time of the offense. However, Sam did

        not argue that any of the Loyola treaters had stated or concluded that Sam was insane.

        Accordingly, Sam did not open the door for the prosecutor to make misleading arguments and

        draw invalid inferences from the Loyola treaters’ failure to diagnose Sam as insane.

¶ 110          Each of the prosecutor’s improper comments discussed above was severely and unfairly

        prejudicial to Sam’s defense. The impact of the improper comments, and the trial courts’ failure

        to redress them effectively, rendered the trial unfair and very likely influenced the jury’s verdict.

        The cumulative nature of the errors only compounded their harm. Sam is therefore entitled to a

        new trial. Because we find the issues discussed above to be dispositive, we do not need to

        address Sam’s remaining arguments.

¶ 111          There was sufficient evidence from which the jury could have found Sam guilty of first-

        degree murder beyond a reasonable doubt and, thus, double jeopardy does not preclude a new

        trial. People v. McKown, 236 Ill. 2d 278, 313-14 (2010). However, nothing in this opinion

        should be construed as a finding regarding Sam’s guilt or his mental state that would be binding

        upon remand.

¶ 112                                          III. CONCLUSION

¶ 113          For the reasons set forth above, we reverse Sam’s conviction and remand for a new trial.


                                                         31
¶ 114   Reversed and remanded.




                                 32