Inside Luigi Mangione's Dark Descent — and What Became 'Almost an Obsession' Before He Allegedly Killed Brian Thompson

Mar. 15, 2025

Luigi Mangione, left; Brian Thompson, right.Photo:Pamela Smith/AP; UnitedHealthcare Group via ZUMA Press Wire

Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, is escorted by police, Thursday, Dec. 19, 2024, in New York. (AP Photo/Pamela Smith); December 4, 2024, New York, NY, USA: UnitedHealthcare CEO BRIAN THOMPSON, 50, fatally shot Wednesday morning outside a Midtown Manhattan Hilton hotel. Gunned down by an unknown masked assailant in what police are calling a “brazen targeted attack.” Head of the largest private insurer in the US, was in NYC to speak at an investor conference. Conglomerate UnitedHealth Group, is America’s fourth-largest public company, behind Walmart, Amazon and Apple. A father of two, Thompson lived in a suburb of Minneapolis, 20-minute drive from the company’s headquarters. FILE SHOT: Date Unknown, Minnetonka, Minnesota, USA: BRIAN THOMPSON. (Credit Image: © UnitedHealthcare Group via ZUMA Press Wire)

Pamela Smith/AP; UnitedHealthcare Group via ZUMA Press Wire

When police eventually tracked down the suspect at a McDonald’s in Altoona, Pa., on Dec. 9, the public was presented with an accused killer unique in the annals of crime: 26-year-oldLuigi Mangione— who was arrested carrying what police claim was a manifesto describing his M.O. and how he had selected a prominent health insurance executive as a target — is an Ivy League graduate who allegedly turned into an anti-corporate assassin.

Luigi Mangione.Luigi Mangione/X.com

Luigi Mangione

Luigi Mangione/X.com

Charged with 11 counts ofstalking, murder and terrorismin New York, and facing additional federal murder and terrorism charges that, if proven, could carry the death penalty, Mangione has pleaded not guilty and is headed back to court in New York City on Feb. 21 for a pretrial hearing. He is currently being held at the Metropolitan Detention Center in Brooklyn.

Brian Thompson’s widow, Paulette Thompson.Facebook

Pauley Reveiz Thompson and sons Brian Thompson family

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Now a new documentary,Who Is Luigi Mangione?,airing on ID and streaming on Max,traces the path of a once-promising student who allegedly transformed into a radical killer, as well as the ascent from humble origins of Thompson, the CEO of one of the nation’s richest corporations, who prosecutors say became an assassin’s target.

It’s the story of two men who, at one point in their lives, shared a lot in common before taking different directions and, authorities claim, ending up together at the scene of a horrific crime on a Manhattan sidewalk.

Luigi Mangione.NYPDnews/X

Below are photos of a person of interest wanted for questioning regarding the Midtown Manhattan homicide on Dec. 4.

NYPDnews/X

Born into a wealthy family in Maryland, Mangione attended Baltimore’s prestigious Gilman School, graduating in 2016 as the popular top student of his class. Says family friend Giovanna Blatterman in the doc: “He also had enough smarts to get into the University of Pennsylvania. It’s like you don’t have to brag when that happens—it speaks for itself.”

But while studying computer science, Mangione, who had Lyme disease, developed brain fog, a debilitating symptom that attacked his thinking and decision-making. In Reddit posts, he detailed his struggles, noting that he had to stop playing chess with his roommate because he couldn’t remember strategies. He was deeply frustrated.

“The brain fog becomes almost an obsession [for him] because it’s something that he can’t overcome,” says criminologist Casey Jordan.

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After graduating with both a bachelor’s and a master’s degree in 2020, Mangione eventually moved to Hawaii, where, while surfing, he suffered a life-changing back injury. He underwent surgery in 2023 and posted X-ray images of multiple screws in his lower spine from the operation. He claimed to have never fully healed.

Luigi Mangione.Theodore Parisienne/New York Daily News/Tribune News Service via Getty

Luigi Mangione, the suspect in the murder of UnitedHealthcare CEO Brian Thompson, is seen here at the South Street Heliport after arriving on a New York Police Department helicopter in Manhattan, New York City, on Thursday, Dec. 19, 2024.

Theodore Parisienne/New York Daily News/Tribune News Service via Getty

Increasingly isolated, Mangione was still active on social media in early 2024, when he posted a positive review of “Unabomber” Ted Kaczynski’s manifesto on Goodreads. But after a trip to Japan focused on self–discovery, Mangione dropped off the map.

“I followed up in March, April, May—just a text message checking in,” says R.J. Martin, a friend from Hawaii. “And I didn’t hear from him.”

ID

Mere weeks before the murder of Thompson, Mangione’s mother reported him missing to police in San Francisco, where she believed her son had been staying.

“The fact that even his mother didn’t know where he was would seem to indicate he really had made a big decision to prepare for this incident” in New York on Dec. 4, says Abrams.

When police arrested him days later, they found a 3D-printed “ghost gun,” fake IDs and a letter to “the feds” that reportedly stated that the “parasites” in the health insurance industry “had it coming.”

Brian Thompson.

Brian Thompson year book photo from South Hamilton High School, in Jewell, IO.

As for what’s next for the defendant, Abrams does not believe Mangione will mount an insanity defense.

“That would defeat the entire purpose of what he allegedly did and why he did it,” he says. “I would expect they’ll challenge the evidence as presented in court and hope there are jurors who sympathize with him.”

And if Mangione does argue his defense in court—as prosecutors detail the shocking circumstances of Thompson’s death—it will be one of the most widely followed trials in American history.

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source: people.com