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Published 09:28 11 Jul 2026 GMT
Sixteen children, aged between 18 months and 18 years, were discovered inside a home in Hamden, Ohio, on June 30.
They were allegedly living in a single room measuring 12 feet by 12 feet, surrounded by human waste and piles of rubbish.
Some could not speak. The eldest, an 18-year-old woman, was unable to write her own name.
Four adults have been arrested and charged. All have pleaded not guilty. The case has since been referred to a grand jury, a special prosecutor has been appointed, and one defendant is now seeking an insanity defence.
Here is everything we know so far.
Officers from the Vinton County Sheriff's Office arrived at 182 Ohmer Road in Hamden on June 30 to execute a search warrant.
They were not there for the children. The warrant related to four misdemeanor indecent exposure charges filed against Gary Siders Jr., who was alleged to have exposed himself outside the property on four separate occasions in May 2026.
What deputies found when they entered the house changed the case entirely.
Ohio Attorney General Andy Wilson said the conditions inside were unimaginable.
Parts of the home were so contaminated with rubbish and waste that investigators could not physically reach certain rooms.
The floor was so deteriorated that the children were "literally about to fall through" it.
"They looked like almost feral animals," Wilson said. "It was terrible."
Sheriff Ryan Cain said: "Most of our livestock was kept in better conditions than the children. Just a disgusting scene."
Seven children were transported to hospitals in Columbus.
Two had to be flown to trauma centres by helicopter.
One was placed in intensive care and intubated. Some of the children were covered in bugs.
The home itself, which is believed to belong to a deceased owner, had five rooms and one bathroom for a household of 20 people.
Four adults were arrested and arraigned on July 1.
Gary Siders Jr., 36, and Elizabeth Siders, 33, are the children's parents.
Gary Siders Sr., 73, and Christina Siders, 67, are the children's paternal grandparents. All four were living in the property with the 16 children.
Marriage records from Mason County, West Virginia, show Gary Jr. and Elizabeth married on March 31, 2008. He was 18. She was 15. Her parents consented to the marriage.
A West Virginia judge approved the union. The eldest child was born just two months later, meaning Elizabeth was seven months pregnant and a minor at the time of her wedding.
Multiple reports, which authorities have not confirmed, suggest Elizabeth may have given birth as many as 20 times, beginning at age 13.
Her attorney Thomas Stolly has confirmed all 16 children found in the home are biologically hers.
Officials have described this as an 'intrafamily' case, a term that has prompted speculation about whether incest may be a factor. That has not been confirmed.
Each of the four defendants faces 16 counts of second-degree felony child endangering.
Each count carries a minimum of two to eight years and a maximum of 12 years in prison. If convicted on all counts, each defendant faces up to 192 years behind bars.
All four have pleaded not guilty. They are being held on $300,000 bond each. A judge ordered that none of the defendants may have contact with the children or with each other while the case is ongoing.
Prosecutors have indicated additional charges are expected as evidence continues to be reviewed.
Attorney Thomas Stolly has been the most vocal figure in the defence so far.
He revealed that the first thing Elizabeth asked when he visited her in jail was not about her own case, but about her children.
"She asked if her children were OK, she asked if I knew where they were, and she asked when she'd be able to see them again," Stolly said.
He described meeting "a woman who was timid and who was exhausted. It looked like she had been crying quite a bit. She looked distraught."
Stolly has since pushed back against several aspects of the prosecution's narrative.
In an interview with WBNS 10TV, he said he disagrees with Wilson's characterisation of the conditions as 'pure evil'.
He said he has seen no evidence to support the claim that the children were confined to a single 12-by-12-foot room.
He told the outlet Elizabeth had said the older children had mobile phones, used social media, and shared "inside jokes", suggesting they were not completely isolated from the outside world.
"I think that this is more so a case of isolation than a case of evil," he said.
"And I think that there's an important distinction there."
He also confirmed Elizabeth told him she and Gary Jr. "always wanted a big family" and that all 16 children were born in hospitals.
This has become one of the most debated questions in the case.
Elizabeth married Gary Jr. when she was 15 and already heavily pregnant.
She was a child herself when she became a mother.
Her brother has spoken out on Facebook, claiming his sister was 'almost indoctrinated' by the Siders family.
He also claimed "everyone knew about it" and suggested that state welfare agencies had prior knowledge of the situation.
Those claims have not been confirmed by investigators or by Elizabeth's own attorney.
When asked directly whether Elizabeth considers herself a victim, Stolly said: "I don't think she would classify herself as a victim."
Former lead Susan Smith trial prosecutor Tommy Pope told NewsNation: "It looks like she got married with her parents' consent in West Virginia when she was 15 and was seven months pregnant. It almost seems like the worst of circumstances."
Forensic nurse Rachel Fischer offered a more measured assessment: "A person can be responsible for harm to children while also having a history of grooming, coercion, isolation, reproductive control, or abuse."
Vinton County Prosecutor William Archer addressed the question at a press conference this week, saying that "according to defense counsel, Elizabeth is not a victim."
Birth and death records revealed that the couple had two other children who are not among the 16 found in the home.
Bailey Lee Siders and Faith Lee Siders were conjoined twin girls born on November 20, 2022, at Riverside Methodist Hospital in Columbus.
They were joined at the chest, sharing organs, after being born at just 24 weeks' gestation. Both lived for approximately one hour.
The cause of death was listed as respiratory failure linked to extreme prematurity.
Their existence first came to public attention after social media users spotted a headstone in Hamden bearing both names with a single date: November 20, 2022.
The twins' deaths are not currently included in the criminal charges.
Court documents do, however, list multiple sets of twins among the 16 living children, including pairs aged four, two, and one.
None of the 16 children had ever been enrolled in school.
The Vinton County Local School District confirmed it had no records of any of them.
Investigators believe the family moved across multiple Ohio counties, dating back to at least 2008, avoiding creating medical or government records that might have revealed the alleged abuse.
"These folks were pretty good at hiding these kids," Wilson said.
Neighbour Joseph Stewart, who lives three houses away, said he had never seen a single child at the property.
"It's a sad situation. I saw no kids at all." Another resident, Josh O'Dell, said the house appeared abandoned.
Former FBI special agent Jennifer Coffindaffer told NewsNation the family's strategy appeared deliberate: "You get away with it because you conceal it by moving over and over again. You don't let the children out of the house, and you keep them in that basement."
Prosecutor Archer confirmed at a press conference this week that the family was paying rent at the Hamden property, contrary to online speculation that they were squatting.
He also confirmed that only Gary Sr. and Christina were receiving state benefits at the time of the discovery. Gary Jr. and Elizabeth were not.
The state has not yet confirmed whether it has obtained birth certificates for all 16 children.
As the case has gained national attention, social media users have repeatedly drawn comparisons to the case of Josef Fritzl, the Austrian man who imprisoned his daughter for 24 years and fathered seven children with her in a concealed underground space.
While there is no suggestion the Ohio case involves identical circumstances, the scale of the alleged concealment has prompted the comparison.
Others have pointed to the Turpin case in California, where 13 children were found shackled and starved inside a home in Perris in 2018.
In a troubling echo of that case, six of the Turpin children were later placed in a foster home where they were abused again.
Gary Siders Sr.'s legal team has filed a motion seeking both a competency evaluation and a possible insanity defence.
His attorney, Dorian Keith Baum, said the 73-year-old has 'significant health issues' and 'very limited mobility'.
He was transported to OhioHealth O'Bleness Hospital in Athens earlier this week.
A Vinton County judge has signed an order directing the Forensic Diagnostic Center of District Nine to evaluate whether Siders Sr. is competent to stand trial and whether he was legally insane at the time of the alleged offences.
The order pauses the speedy trial clock while the evaluations are completed.
If released from hospital, Siders Sr. will be required to wear a GPS monitor.
All four defendants waived their preliminary hearings on July 7.
The case will now proceed directly to a grand jury under a newly appointed special prosecutor. No date has been set.
If the grand jury indicts the four, prosecutors will proceed to trial. Additional charges remain possible.
Gary Siders Jr. also faces a separate hearing on four misdemeanor indecent exposure charges.
His attorney has filed a motion to continue that hearing, citing previously scheduled vacation plans.
Stolly, Elizabeth's attorney, has filed a motion requesting a lower bond for his client.
Unconfirmed rumors have circulated online that Elizabeth may be pregnant again, after a Facebook post surfaced in recent days. Neither prosecutors nor court filings have confirmed this.
All 16 children are in the temporary custody of the Ohio Department of Job and Family Services. Some have been treated and released from hospital.
Others remain hospitalised in serious condition.
Experts have warned that the road ahead for the children will be long.
Heidi Wuescher, youth wellness programme director for Fostering Hope Ohio, told NewsNation: "This appears to be an extraordinarily complex situation that will require expertise from many disciplines."
Services needed may include foster care, mental health therapy, behavioural support, and financial assistance.
Given the scale of the case, finding foster placements for 16 children, many of whom have severe developmental needs, is expected to be extremely challenging.
The family's uncle, Ronnie Fletcher, has said the wider family was "horrified" but described themselves as 'distant'. A family foster placement may be unlikely.
Bailey and Faith, the conjoined twins who lived for one hour in November 2022, are buried in Hamden.
This is a developing story. VT will continue to update this article as new information emerges. For more on this case, read our full coverage below.