Introduction: Methods used for homicide varies enormously such as use of fire arm, use of Sharp weapons and by other means like Strangulation, smothering, poisoning, burning etc. However, employing multiple methods by a single assailant for killing one victim is rarely reported in standard Indian literature. Case Details: This case report describes the death of a 31 year old married female, who was killed by employing different methods of mechanical asphyxia. Multiple nail scratch abrasions were present on her cheek and neck. Internal examination showed haemorrhagic infiltration in the muscles of neck and contusion of the inner wall of upper respiratory tract. There was also presence of Sub-dural & Sub-arachnoid haemorrhage and multiple bilateral rib fractures, along with blunt trauma injuries on both her thighs. This case highlights the possibility of involvement of a single person only, in the homicide of a healthy adult female by the application of different asphyxial methods together. Conclusion: The autopsy findings helped the autopsy surgeon in reconstructing the sequence of events and the manner in which the act was carried out. All these criminal offences were done by one single assailant who compressed her mouth and nose with the left hand, squeezed her neck with right hand and pressed her thorax with knees. The autopsy findings and probable sequence of events helped the police to establish the crime by suspected assailant. This case emphasizes importance of forensic reconstruction in helping the judiciary.

Keywords: Homicide; Smothering; Manual Strangulation; Traumatic asphyxia; Forensic Reconstruction.