Mata- an imaginary woman. viii.Post conviction mental Illness: Appellant’s permanent cognitive impairment will only worsen with age. His mental health concerns including speaking to ‘Mata’ and having a confused understanding of the death sentence and what it entails. ix.During the early years of incarceration, Appellant engaged in multiple prison activities- learning English, doing art, and making bags.” 29. The psychiatric assessment report dated 19/06/2023 submitted by Sasson General Hospital notes that the appellant has speech issues and significant cognitive impairment due to a stroke that he suffered from while in prison in 2021. The cardiological evaluation report from Sasson hospital records that the appellant had an angioplasty in 2014. He has ischemic heart disease, which requires continued medical management. The neurological evaluation notes that he has right sided hemiparesis due to his stroke in 2021 and left frontoparietal gliosis per CT brain done in 2023. He has