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Last Updated: February 12, 2026, 4:06 PM EST

Alex Pretti, 37, was shot and killed on Jan. 24 in Minneapolis -- the second shooting of a U.S. citizen last month by federal agents in the city. His death was ruled a homicide by the county medical examiner.

The shooting of Pretti, an ICU nurse, ratcheted up tensions, as protesters clashed in the streets with law enforcement in the aftermath of the shooting.

The incident followed the fatal shooting of Renee Good, a 37-year-old mother, on Jan. 7.

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Feb 02, 2026, 12:49 PM EST

Alex Pretti's death ruled a homicide by medical examiner

Alex Pretti's official manner of death has been ruled a homicide by the Hennepin County Medical Examiner, a report shows.

The 37-year-old nurse's cause of death was "multiple gunshot wounds," according to the report.

The report recorded that Pretti was "shot by law enforcement officer(s)" and died in the emergency room at Hennepin Healthcare.

A screengrab from a video obtained by Reuters shows a law enforcement officer pinning down Alex Pretti, before he was fatally shot when federal agents were trying to detain him in Minneapolis, Minnesota, January 24, 2026.
Video Obtained By Reuters

-ABC News' Brian Hartman and Jared Kofsky

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