Accounts from grieving families, medics and rights groups point to a grim pattern in Iran’s crackdown: wounded protesters were not just denied care but deliberately shot again in hospitals or removed alive and later killed.

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A medic told Sam’s family that he was “in critical condition being treated for a single gunshot wound in the back of his head,” before security forces arrived and removed him … Days later … they found him inside a body bag on Jan. 11 with a second bullet wound that tore through half of his face and made him almost unrecognizable.

The second shot—delivered after medical care had begun—was not an act of mercy. It was finalization.

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Witnesses speaking to Iran International on the condition of anonymity report the abduction of wounded protesters from hospitals and the execution of injured people who were unable to move.

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Other witnesses said the killings continued inside medical facilities. One source told Iran International that agents used suppressed weapons. “That person was crying and saying they were shooting the wounded with silenced guns,” the witness said, describing what was explicitly referred to as a finishing shot.

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Hospitals including Ghasem Soleimani, Kasra and Takht-e Jamshid were placed under armed lockdown, according to eyewitness reports, with families barred from entry and medical staff working under threat.

One healthcare worker said more than 400 people killed during January 8-9 were brought to Karaj hospitals alone.

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Wounded protesters—those who survived initial gunfire—appear to have been treated as liabilities. Removing them from hospitals, or killing them outright, ensured that testimony would not survive.

Sam’s father said his son had dreamed of studying information technology in Germany, where he planned to reunite with him. Instead, he was shot once, treated, and then shot again.

The second bullet did what the first did not.