during his incarceration. In 1988, Ramirez proposed to Lioy, and on October 3, 1996, they were married in California's San Quentin State Prison. For many years before Ramirez's death, Lioy stated that she would commit suicide when Ramirez was executed. However, Lioy eventually broke ties with Ramirez in 2009 after DNA confirmed he had raped and murdered nine-year-old Mei Leung. By the time of his death in 2013, Ramirez was engaged to a 23-year-old writer. Appeals On August 7, 2006, Ramirez's first round of state appeals ended unsuccessfully when the California Supreme Court upheld his convictions and death sentence. On September 7, 2006, the California Supreme Court denied his request for a rehearing. Ramirez had additional appeals pending until the time of his death. Mental health Psychiatrist Michael H. Stone describes Ramirez as a 'made' psychopath as opposed to a 'born' psychopath. He says that Ramirez's schizoid personality disorder contributed to his indifference to the suffering of his victims and his untreatability. Stone also stated that Ramirez was knocked unconscious and almost died on multiple occasions before he was six years old and as a result "later developed temporal lobe epilepsy, aggressivity, and hypersexuality." Death Ramirez died of complications secondary to B-cell lymphoma at Marin General Hospital in Greenbrae, California, on June 7, 2013. He had also been affected by "chronic substance abuse and chronic hepatitis C viral infection". In popular culture Manhunt: Search for the Night Stalker (1989) is a TV movie by Bruce Seth Green, based on the true story of Richard Ramirez and the two Los Angeles police detectives who tried to track him down. Nightstalker is a 2002 film written and directed by Chris Fisher based on Ramirez. Nightstalker is a 2009 film written and directed by Ulli Lommel based on Ramirez. The Night Stalker is a 2016 film directed by Megan Griffiths and starring Lou Diamond Phillips as Ramirez. American Horror Story: Ramirez is featured in the fifth and ninth seasons of the FX horror anthology series, initially being portrayed by Anthony Ruivivar and then later by Zach Villa. "Richard Ramirez" is a song by SKYND from their EP Chapter 1 (2018). Just a Guy is a 2020 documentary film about Ramirez and the women he corresponded with. Night Stalker: The Hunt For a Serial Killer is a 2021 documentary released by Netflix featuring first-person interviews, archival footage, newly shot reenactments, and original photography related