Niels Högel is on trial for the suspected murder of 100 patients in two different hospitals. After his complete confession on opening day, he has now apologized to the relatives of his victims.
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A German nurse who is accused of having murdered more than 100 patients is being tried again by a court in Oldenburg, in the state of Lower Saxony.
According to investigators, 41-year old Niels Högel intentionally injected patients with doses of medicine liable to cause cardiac arrest so that he could then attempt to revive them and impress his colleagues, in one of the most serious cases of mass murder in postwar German history.
On Thursday, during a hearing of the trial which began three weeks ago, Högel apologized to the victims' families, and said if there was anything he could do to help them right now, he would.
"I am fully convinced now that I owe every relative an explanation," he told the court. "I am honestly sorry."
He also said at the time of the murders, the killings had not affected him emotionally: "I didn't feel grief in that sense," he said.
Investigators suspect more than 200 murders
The killings allegedly took place in the hospitals of Oldenburg and Delmenhorst, two towns in Lower Saxony, between 2000 and 2005.
The youngest of his victims was 34 years old and the oldest was 96.
Högel was already sentenced to life in prison in 2015 for six other crimes, including the murder of two patients and the attempted murder of two more.
After the sentencing, the police continued to investigate and determined that the number of possible victims was much higher.
Investigators suspect Högel could have killed more than 200 people, but they fear they might never find out because many of the possible victims were cremated.
With a view to kill: Germany's worst serial killers
Many of the world's most horrifying crimes are committed by serial killers — among them rapists, child molesters and cannibals. DW takes a look at some of Germany's most notorious and prolific over the last century.
Image: picture alliance/dpa/C. Jaspersen
Cannibal of Münsterberg
Karle Denke murdered and cannibalized at least 42 people, mostly villagers, between 1903 and 1924 in his Münsterberg apartment in then Prussia (pictured). It is thought that he even sold the flesh of his victims at the Breslau (now Wroclaw, Poland) market as pork. A victim was able to escape and later police found cured human flesh in his home. Denke hung himself in his jail cell two days later.
Image: 171413picture-alliance/arkivi
Horror of Hanover
Fritz Haarmann is thought to have sexually assaulted, murdered, mutilated and dismembered at least 24 boys and young men between 1918 and 1924.The full extent of his crimes were revealed after 500 pieces of human bone, some with knife marks, were found by Hanover residents worried about the disappearance of children in the area. Haarmann, who was once a police informant, was beheaded in 1925.
Karl Grossmann killed his victims and sold their meat on the black market and at his hot dog stand. After neighbors heard screaming, police burst into his home to find a dead young woman on his bed. It's unclear how many lives Grossmann took, but he was suspected of dismembering 23 women and involvement in up to 100 missing cases in Berlin. He hanged himself in 1922.
Image: Gemeinfrei
Terror of Falkenhagen Lake
Friedrich Schumann was a locksmith who raped, murdered and stole from 1918 to 1920. After a confrontation with a local forester — whom he shot — Schumann was arrested and charged with the murder of six people and attempted murder of 11 others. He was sentenced to death six times. The night before his execution at aged 28, he admitted to killing 25 people, including his first victim — his cousin.
Image: picture-alliance/dpa/P. Pleul
S-Bahn murderer
Paul Ogorzow was convicted of 31 sexual assaults, the murder of eight women and attempted murder of six others in Nazi-era Berlin between 1940 and 1941. Ogorzow worked for the German commuter rail system and would threaten, stab or bludgeon his rape victims before sometimes throwing them off the moving train. He was sentenced to death and beheaded two days later.
Image: Gemeinfrei
Human trafficker and killer
In 1946 and 1947, Rudolf Pleil worked as a border guard in the Harz Mountains and illegally trafficked people, mostly women, from East to West Germany. For a while, he had two accomplices who would help trap victims. Pleil was convicted of killing a salesman and nine women but he claimed to have killed 25 people. Sentenced to life in prison in 1950, Pleil committed suicide eight years later.
Image: picture-alliance/dpa
Man-eater of Duisburg
Joachim Gero Kroll was a serial killer, rapist, child molester and cannibal. Between 1955 and 1976 he murdered up to 14 people, mainly women and young girls. When he was arrested in 1976, human remains were packed in his refrigerator and he was in the process of cooking the arms and hands of a 4-year-old girl he had just killed. Imprisoned for life in 1982, Kroll died of a heart attack in 1991.
Image: picture-alliance/dpa/P. Sieländer
Smoking out murder
Fritz Honka was notorious for killing at least four women between 1970 and 1975. He strangled prostitutes in his apartment and cut up their corpses. Firefighters found hidden body parts in his apartment after a fire broke out while he was gone. Honka was sentenced to 15 years in a psychiatric institution. After his release in 1993, he lived in a retirement home until his death five years later.
Image: picture-alliance/dpa
St. Pauli killer
Werner Pinzner was a for-hire killer for pimps in Hamburg's red light district. He is thought to have killed between seven and 10 people. Pinzner gained nationwide fame in 1986 when he was brought to the Hamburg police department for interrogation with his wife and lawyer. He suddenly pulled out a gun and shot the investigating prosecutor before turning the gun on his wife and himself.
Image: picture-alliance/dpa
Death by poison
Marianne Nölle, a nurse from Cologne, killed patients in her care by poisoning them with an anti-psychotic drug between 1984 and 1992. Police believe she actually killed 17 people and attempted a further 18 murders, but she was only convicted of killing seven patients. She has never confessed to any of her crimes. Since 1993, Nölle has been serving a life sentence.
Image: picture-alliance/dpa/DB
Killer on the roads
Volker Eckert was a German trucker who murdered at least nine women, most of them between 2001 and 2006. According to police, there were probably four others. His first victim was a classmate whom he strangled aged 15. Most of his victims were prostitutes he picked up across Europe, and he kept trophies like his victims' hair. Eckert hanged himself in his cell during his trial in 2007.
Image: Imago
Angel of death
Stephan Letter is a former nurse responsible for the death of at least 29 patients by lethal injection at a Bavarian hospital between 2003 and 2004. Arrested for drug theft, Letter confessed to some of the killings, insisting that he was trying to relieve suffering. He is serving a life sentence and until recently, his acts were described as Germany's worst killing spree since World War II.
Image: picture alliance/AP/U. Lein
Killer nurse
Keen to impress colleagues with his life-saving skills, Niels Högel would inject patients with cardiovascular medication to induce heart failure or circulatory collapse. He was convicted of killing two people and was jailed for life in 2015. However, after a multiyear probe, investigators now believe the former nurse was responsible for 100 more deaths, making him Germany's most prolific killer.
Image: picture alliance/dpa/C. Jaspersen
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Police have exhumed 130 bodies of people who died while Högel was on shift.
Investigators discovered traces of substances like potassium, Solatex and Gilurytmal (medicines used to control abnormal heart rhythms) or lidocaine (an anesthetic) in the exhumed bodies.
Investigators have described the case as "unprecedented in Germany" to their knowledge.
Högel said he had previously not spoken about the murders "out of shame" and because it had taken him a long time to come to terms with how many people he had killed.
While he was working at the two hospitals, Högel had gained a reputation as a jinx because so many patients had to be resuscitated or died under his watch.
The hospital in Oldenberg had tried to get him to leave and wrote him positive letters of recommendation, but despite the suspicious number of deaths, a formal investigation was never opened.
Högel continued to kill even when he moved to the new hospital in Delmenhorst, where he was finally caught in the act in 2005.