Some states allow judge and jurors an alternative to NGRI. This middle ground verdict is called

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The middle ground verdict is called "Guilty but mentally ill". This verdict means that although the defendant was mentally ill at the time of the crime, they can still be held criminally responsible for their actions. The defendant will receive treatment in a mental health institution while serving their sentence. This verdict is available in some states as an alternative to the traditional "not guilty by reason of insanity" plea.

Some States Allow Judge and Jurors an Alternative to NGRI