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He was found dead in his prison cell at the Western Correctional Institution in Cumberland, Maryland, on August 5, 2017, at the age of 62.

In August 1998, he pleaded guilty to murdering and robbing Magaziner, and prosecutors sought the death penalty in that case, as well. He received a sentence of life in prison in that case. His death sentence was overturned in 2000, and the sentence for the murder of Spicer was reduced to life without parole. The rationale for the death penalty was that the murder had been committed in committing a robbery, but the evidence indicated that robbery was not his motivation.

He said that he had thrown bodies in the Patapsco River and they had never been found. The Baltimore Sun reported in 1997 that it was not clear how truthful his claims were about how many people he had killed, although he said that he had killed up to 10 people. His attorney said that he was remorseful and that drugs and alcohol had changed his personality and made him violent.

He was tried in 1997 in the Kemper case and given a sentence of 50 years for kidnapping and attempted sexual assault. He was acquitted of attempting to murder her. He was sentenced to death in 1998 for the murder of Spicer. At his sentencing hearing, he said that he committed murders because he "enjoyed it", he "got a rush out of it, got a high out of it" and "had no real excuse why other than I like to do it".

Metheny killed Kimberly Lynn Spicer in mid-November 1996 by stabbing her with a knife. He kidnapped Rita Kemper on December 8, 1996 and attempted to rape her. According to prosecutors, he shared drugs with Kemper in the trailer where he was living at the pallet factory site. She refused to have sex with him and ran out of the trailer, so he chased her, beat her, dragged her back into the trailer, and then pulled down her pants and attempted to rape her. They also alleged that he had attempted to murder her, saying: "I'm going to kill you and bury you in the woods with the other girls." She escaped through a window of the trailer and fled to police officers in the area.

Metheny then asked a friend to help him bury the body of Spicer which he had been hiding at the factory site since killing her a month earlier. The friend reported it to the police on December 15, 1996, and Metheny was arrested and charged with her murder the same day. The owner of the business was arrested with Metheny as they left a Christmas party and was charged as an accessory after the fact for allegedly disposing of evidence. Metheny began confessing to other murders, as well as that of Spicer. He led police to the shallow grave where he had reburied Magaziner's decapitated remains. Much of the skull was missing, but the police were able to identify Magaziner from dental records.

Metheny was tried for murder in a different case in 1995 for allegedly killing Randall Brewer and Randy Piker with an axe at a homeless "tent city" campsite under Baltimore's Hanover Street Bridge. There had been disputes involving rival groups of homeless men, and Larry Amos stole the murder weapon and used it to kill Everett Dowell, another homeless man. The bodies were discovered on August 2, 1995, the same day that Dowell was killed. Amos was arrested and accused of first-degree murder and pleaded guilty to the lesser charge of manslaughter; he was released after serving one year and nine months of an eight-year sentence. A jury concluded in July 1996 that there was insufficient evidence to convict Metheny of murdering Brewer and Piker, but he later said that he was guilty of those murders.

Metheny murdered Cathy Ann Magaziner in 1994, a 39-year-old woman whom had been convicted for prostitution, and buried her body in a shallow grave on the site of the factory where he worked. The body remained there for more than two years. He later said that he had strangled her and that he dug up her skeleton six months later, put her head in a box, and threw it in the trash.

Metheny was ironically known as "Tiny" in the 1990s, as he was 6′1″ tall, large-framed, and overweight. He had been spending time in bars, living with bands of homeless men in makeshift camps in South Baltimore, and spending nearly all of his money on crack cocaine, heroin, and liquor. However, he held a steady job as a forklift driver and was universally described as intelligent, well-spoken, and very well-mannered.

Metheny joined the Army when he turned 18 in 1973. His mother said that he had served in Germany, although he claimed that he had served a tour in Vietnam and had become addicted to heroin while in an artillery unit there. His mother said that she had no recollection of him serving in Vietnam, and the circumstances of his service were reported as unverified in press reports. American involvement in Vietnam had ended by that time.

Joseph Roy Metheny (March 2, 1955 – August 5, 2017) was an American murderer from the Baltimore, Maryland area who said that he was a serial killer and had killed up to 13 people. However, sufficient evidence was only found to convict him for two murders. His victims were heavily involved with alcohol and addictive hard drugs, as was Metheny himself, and the killings also involved brutal sexual assaults.