More than 150 victims gave impact statements against the abuser, who molested girls while purporting to give medical treatments.
Disgraced Olympics doctor Larry Nassar has been sentenced to up to 175 years for sexually abusing young gymnasts in his care, Sky News reports.
As she read his sentence on Wednesday, Judge Rosemarie Aquilina said Nassar's decision to assault was "precise, calculated, manipulative, devious and despicable".
She told him: "It is my honour and privilege to sentence you. You do not deserve to walk outside a prison ever again... I've just signed your death warrant."
The decision follows more than 150 victim impact statements from women and girls who told the court they had been sexually assaulted by Nassar.
Among them was Olympic medal winner Aly Raisman, who said he "should have been locked up a long, long time ago".
"We have no idea how many people you victimised, or what was done, or not done, that allowed you to keep doing it, and to get away with it for so long," she said.
Those in the courtroom gasped as they heard Nassar had wrote he was living a "complete nightmare" and that "hell hath no fury like a woman scorned".
Judge Aquilina told him: "This letter tells me you still do not own what you did. I wouldn't send my dogs to you, sir."
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Migrants refusing help from Maltese patrol boats
Because that would make it difficult for them to proceed to Northern Europe.