Christa Pike
Christa Pike, the only woman on Tennessee's death row, survived two doses of pentobarbital before being taken to the hospital Pop Base/X

Christa Pike's execution in Tennessee came three decades after she was convicted of first-degree murder for killing 19-year-old Colleen Slemmer in 1995. Pike was scheduled to be put to death via lethal injection on 30 September, becoming the first woman to be executed in the state in more than 200 years.

However, the procedure was halted after Pike remained alive despite receiving two doses of pentobarbital. Pike had previously described the possibility of a botched execution as 'her absolute worst nightmare.'

Christa Pike Shared Fears About Botched Execution Weeks Before It Happened

Christa Pike remains in critical condition following her botched lethal injection on 30 September. Her lawyers are lobbying for the commutation of her death sentence following the failed procedure because of the 'torturous' attempts.

Pike had requested to die via an all-female firing squad or hanging instead of the lethal injection because of her concerns with the process, but the court denied her plea.

In an audio recording provided by Pike's lawyers to The New York Times, which was captured weeks before she was scheduled to be executed, she mentioned the botched execution of Tony Carruthers in May.

Pike maintained that she did not have 'good veins', and that she was worried that the physician wouldn't be able to establish a central line to deliver the drug successfully. 'Tony Carruthers lived out my worst nightmare, detail for detail, and I don't want to go through that,' she said.

Carruthers' execution was halted on 21 May after medical staff failed to establish IV access despite repeated attempts. More than an hour into the execution attempt, Gov. Bill Lee ordered officials to stop the procedure, granting Carruthers a one-year reprieve.

Carruthers was reportedly in visible distress after being left with more than a dozen needle punctures. He later reportedly suffered a stroke and was left partially paralysed after the botched execution.

The physician who administered Carruthers' execution, Mark Fowler, was also responsible for Pike's.

Physician Who Consulted on Christa Pike's Case Speaks About Execution on Op-Ed

Dr Joel Zivot, an anaesthesiologist and intensive care physician, wrote an op-ed for The New York Times on Pike's botched execution. He reviewed Pike's medical history and confirmed that she did have the 'small veins' that would make a lethal injection painful.

According to witnesses, Pike was complaining about feeling that her arm was about to burst during the execution. Zivot suggested that the IV lines had failed and that the drug had entered Pike's arm tissue and not her bloodstream.

'In Ms. Pike's case, it appears that enough of the drug reached her brain to sedate her deeply, but not enough to stop her breathing,' he wrote. Pike had been snoring inside the execution chamber, evidently still alive.

Dr Zivot also suggested that the pentobarbital had been downgraded, but as the state does not disclose where they obtain the drugs, this could not be confirmed.

Pike was taken to a hospital after the failed execution, but her exact condition is unknown. Since it had been more than an hour since the pentobarbital had been administered before medical care arrived, Dr Zivot said it was 'very possible that she sustained permanent brain injury.'

One of Pike's lawyers, Stephen Ferrell, shared an update on 4 October saying her critical status 'remains the same', remains unconscious, and is breathing with a ventilator. They are not aware of her exact prognosis as they may only communicate with Pike's medical power of attorney.

Christa Pike's Death Sentence for First-Degree Murder Is Still Upheld

Pike's death sentence still stands, but her attorneys requested Gov. Lee to spare her from execution and sentence her to life in prison.

If Pike survives but suffers permanent brain damage, her condition could raise questions about her competency to be executed.

Pike had been sentenced to death in 1996 as punishment for the murder of Colleen Slemmer, whom she and an accomplice lured into an abandoned steam plant. Pike and her accomplice tortured and killed Slemmer with a chunk of asphalt.

Pike's future remains uncertain, as her lawyers have renewed their request for Gov. Lee to commute her death sentence to life in prison. An earlier commutation request was denied before the failed execution attempt. He instead halted state executions for the remainder of 2026 and ordered an independent investigation to determine why Pike's execution attempt failed.