The failed execution of Christa Pike in Tennessee has intensified scrutiny of the methods used to carry out capital punishment in the United States. The attempt to put Pike to death by lethal injection last week left her in critical condition, prompting the resignation of Tennessee’s prison chief and reigniting debate over the efficacy and humanity of current execution protocols.

Pike, convicted in the murder of 19-year-old Colleen Slemmer, survived the lethal injection despite receiving two doses of pentobarbital, a barbiturate commonly used in executions. Following the procedure, she was taken to a Nashville hospital where she remains in serious condition, suffering from a blood clot, pneumonia, and an inability to swallow or move her arms, according to her legal team. The victim’s mother expressed outrage, saying the state failed to deliver justice.

Lethal injection has been the primary execution method in the United States since it was first used in Texas in 1982, replacing earlier methods such as electrocution and hanging. About 89% of executions since 1976 have involved lethal injection, often with varying drug combinations. Tennessee and the federal government currently use pentobarbital alone. Experts suggest that Pike’s botched execution may have resulted from the drug entering surrounding tissues instead of her bloodstream, a known risk that can diminish the drug’s lethal effects.

The pressure on pharmaceutical companies to restrict drugs used for executions and concurrent legal challenges have led some states to explore alternative methods. Tennessee’s Republican gubernatorial candidate, Senator Marsha Blackburn, has advocated for increased use of the electric chair, which remains an option for inmates sentenced before 1999. The electric chair has a contentious history, with notable instances of painful or prolonged deaths since its introduction in the late 19th century. It has been used sparingly in recent decades, with Tennessee carrying out its last electrocution in 2020.

Other states have adopted or permitted additional methods, including nitrogen hypoxia, deadly gas, and firing squads. Alabama pioneered nitrogen gas executions in 2024, a method later adopted by Louisiana, but the U.S. Supreme Court recently blocked its use in Alabama amid concerns over potential cruelty. Firing squads are authorized in five states; South Carolina executed three individuals by this method last year, and Idaho made it its primary execution method following a failed lethal injection in 2024.

The use of hanging, once common, has virtually disappeared in the United States since the late 1990s due to inconsistent and sometimes gruesome outcomes. Despite the diversity of methods available, capital punishment remains a deeply divisive issue. Polls indicate a majority of Americans still support the death penalty, though support has declined over recent decades. Opponents point to cases like Pike’s failed execution as evidence that the system is flawed and argue for abolition, while proponents emphasize the need for methods perceived as more reliable and humane to uphold justice.

The controversy surrounding Pike’s execution underscores ongoing challenges states face in balancing legal, ethical, and practical considerations in carrying out the death penalty while under intense public and political scrutiny.