India along with many other countries, as part of the League of Nations, has considered mental illness as a mitigating circumstance for the imposition of lenient sentences as the offender, due to his mental incapacity, is unaware of his actions. This has been the country’s policy for several years. In the recent judgment in the case of Accused ‘X’ v. State of Maharashtra [Review Petition (Criminal) No. 301 of 2008] that was decided on 12th April 2019, the Hon’ble Supreme Court of India, has issued directions on the execution of mentally ill convicts. The ruling arises from the Supreme Court’s miscellaneous decisions where it has laid down the test of severity for the conviction of person’s with mental disability. The bench comprising of Justice NV Ramana, Justice Mohan M. Shantanagoudar and Justice Indira Banerjee has opined that the sole purpose of awarding punishment is that it should act as a deterrent, however, when a condemned prisoner loses cognitive power by reason of post-conviction mental illness, the essence of sentence awarded is lost. In the instant case, the accused was convicted and sentenced to death for sexually assaulting and murdering two minor girls in December 1999 at Gulumb in Maharashtra by the Trial Court in 2001. The High Court of Bombay confirmed the death sentence. Relieving him of the execution and commuting his death sentence to life imprisonment the Bench noted that the reports of psychiatrists suggested that the accused has been reeling under bouts of some form of mental irritability since 1994. The three judge Bench held that:75. “In this state ‘accused x’ cannot be ignored and left to rot away, rather, he requires care and treatment. It needs to be understood that prisoners tend to have increased affinity to mental illness. Moreover, due to legal constraints on the recognition of broad spectrum mental illness within the Criminal Justice System, prisons inevitably become home for a greater number of mentally ill prisoners of various degrees. There is no overlooking of the fact that the realities within the prison walls may well compound and complicate these problems.”The Court further noted that there are no set parameters for determining the degree of disability however a ‘test of severity’ can be a guiding factor for recognizing certain types of mental illness that qualify for an exemption. The Court said:68. “The test envisaged herein predicts that the offender needs to have a severe mental illness or disability, which simply means that a medical professional would objectively consider the illness to be most serious so that he cannot understand or comprehend the nature and purpose behind the imposition of such punishment. These disorders generally include schizophrenia, other serious psychotic disorders, and dissociative disorders with schizophrenia.”The Bench issued the following directives:-That the post-conviction severe mental illness will be a mitigating factor that the appellate court, in appropriate cases, needs to consider while sentencing an accused to the death penalty. The assessment of such disability should be conducted by a multi-disciplinary team of qualified professionals (experienced medical practitioners, criminologists, etc), including professional with expertise in accused’s particular mental illness. The burden is on an accused to prove by a preponderance of clear evidence that he is suffering from severe mental illness. The accused has to demonstrate active, residual or prodromal symptoms, that the severe mental disability was manifesting. The State may offer evidence to rebut such a claim. The court in appropriate cases could set up a panel to submit an expert report.The test envisaged herein predicts that the offender needs to have a severe mental illness or disability, which simply means that a medical professional would objectively consider the illness to be most serious so that he cannot understand or comprehend the nature and purpose behind the imposition of such punishment.Relying upon the Provisions of Mental Health Care Act, 2017, the Court stated that as per Section 20(1) of the Mental Health Care Act, 2017 “every person with mental illness shall have a right to live with dignity” The Judicial authorities in India have on previous occasions pronounced Judgements barring execution of death row convicts suffering from mental illness. The Hon’ble Supreme Court, in the case of Shatrughan Chauhan and Anr v. Union of India and Ors. (2014) 3 SCC 1, based on the report of Neuro Psychiatrist set aside the death penalty awarded to the convict Sundar Singh. The three-judge Bench held that insanity/mental illness/schizophrenia is also one of the supervening circumstances for commutation of death sentence to life imprisonment. Similarly in the case of Navneet Kaur v. State(NCT of Delhi) (2014) 7 SCC 264 the Court held that execution of persons suffering from mental illness or insanity violates Article 21 of the Constitution and that such mental illness or insanity would be a supervening circumstance meriting commutation of the death sentence to life imprisonment. This Judgement of the Supreme Court of India is a big step forward for the people suffering from serious mental illness. India by joining the League of Nations and barring the execution of mentally ill convicts has shown its concern over a long ongoing discussion on the subject of mentally ill convicts.