This case involves 17-year-old Cody Metzker-Madsen, who attacked and killed a 5-year-old boy, Dominic Elkins. Metzker-Madsen acted under the delusion that he was fighting goblins and that Dominic was their commander. A forensic psychologist confirmed the genuineness of his delusion, leading to a verdict of not guilty by reason of insanity. As a result, he was not held legally responsible but was deemed a danger to himself and others and was committed to a psychiatric facility. This case highlights that an insanity defense does not absolve an individual of consequences; rather, it often leads to confinement in a psychiatric hospital for a duration that can be equal to or greater than a prison sentence.