Peter Tobin is seriously ill in hospital, chained to his bed and refusing food and medication.
The serial killer looks emaciated in his hospital gown and is understood to be too sick to return to his prison cell.
The 76-year-old is serving a whole life term in jail for the murders of Angelika Kluk, Vicky Hamilton and Dinah McNicol. It is the first picture of him to emerge in 14-years and Tobin, who has cancer, looks to be wasting away, the Sunday Mail reports.