Juan David Ortiz's killing spree only came to an end after one of his victims escaped, but not before he murdered Melissa Ramirez, Claudine Anne Luera, Guiselda Cantu, and Janelle Ortiz.
Since being released from prison for a 2008 manslaughter, Keith Gibson has been convicted of killing two in Delaware and is suspected of killing four others in Philadelphia.
For years Michael Hughes stalked the streets of Los Angeles looking for victims, until one critical mistake landed him behind bars, as detailed in Oxygen's Serial Killer Capital: Los Angeles.
Typically known for Hollywood and sunny beaches, California has been the hunting ground for a disturbing number of serial killers, as evident in Oxygen's Serial Killer Capital: Los Angeles.
Among murderer Marc Dutroux's many horrific crimes, he built a secret dungeon in his basement and held victims as sex slaves. In some cases, he had help from accomplices.