Episode three examines Ed Gein's trial, confinement, and cultural impact. In January 1958, psychiatrists diagnosed Ed with schizophrenia and declared him incompetent to stand trial. After ten years in Central State Hospital, Ed finally stood trial in 1968, where Judge Gollmar found him not guilty by reason of insanity. Ed spent his remaining years as a model patient in psychiatric institutions until his death from cancer in 1984. He was buried beside his mother Augusta in Plainfield Cemetery. The episode explores how Ed Gein's crimes inspired Psycho, The Texas Chain Saw Massacre, and The Silence of the Lambs, reshaping American horror while examining questions of mental illness, responsibility, and remembering his victims.

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