Tareq Alkayyali v. the State of Texas ( 2023 )


Menu:
  •              In the
    Court of Appeals
    Second Appellate District of Texas
    at Fort Worth
    ___________________________
    No. 02-21-00197-CR
    ___________________________
    TAREQ ALKAYYALI, Appellant
    V.
    THE STATE OF TEXAS
    On Appeal from the 396th District Court
    Tarrant County, Texas
    Trial Court No. 1598293D
    Before Kerr, Birdwell, and Walker, JJ.
    Opinion by Justice Walker
    OPINION
    After a jury trial, Appellant Tareq Alkayyali was convicted of murdering his
    wife and sentenced to 23 years’ confinement. Alkayyali raises ten points of error
    related to the jury charge, the effectiveness of his trial counsel, the sufficiency of the
    evidence, and various evidentiary rulings made by the trial court. Because Alkayyali
    was egregiously harmed by the undisputed jury-charge error in this case, we will
    reverse and remand to the trial court for further proceedings.
    I. BACKGROUND
    A. FACTUAL BACKGROUND
    Alkayyali grew up in Jordan but moved to Texas in 2009. In November 2017,
    Alkayyali and Wasam Moussa were engaged in Jordan and celebrated their wedding
    there in August 2018. Throughout the engagement and after the wedding, Moussa
    frequently indicated that she did not want to be married to Alkayyali and began
    requesting a divorce as soon as the day after the wedding.
    On the night of the wedding, Moussa fainted but quickly regained
    consciousness. Alkayyali testified that Moussa had “been having the fainting most of
    the time” and that he “used to hear that whenever she go to work or she go to school,
    she would faint from, like, no reason.”1 A few days after the wedding while the
    couple was still in Jordan, Moussa started shaking and complaining of breathing
    1
    English was not Alkayyali’s first language and he testified that he struggles to
    explain himself in English and that “[a] lot of people they correct whatever I say.”
    2
    troubles and chest pains, so Alkayyali took her to the emergency room. According to
    Alkayyali, her heart rate “wasn’t stable” but she refused treatment and left the
    emergency room against a doctor’s recommendation. Alkayyali also testified that
    Moussa fainted again at work later that month.2
    Alkayyali returned to Texas alone about a month after the wedding, where he
    continued working as a manager at a local restaurant. Moussa continued to ask for a
    divorce and Alkayyali continued to decline, expressing frustration to Moussa’s family
    that she would not give a reason for wanting a divorce. In spite of this, Moussa came
    to live with Alkayyali in Texas on May 25, 2019.
    On the day of Moussa’s arrival, Alkayyali had text conversations with Vernie
    “Alicia” Smith, a friend and manager at the restaurant. In these messages, Alkayyali
    expressed frustrations about his relationship with Moussa saying that she did not
    respect him, treated him like “shit,” and that he was unable to joke with or touch her.
    He said that his “situation [was] bad” and that he was sure that Moussa had “a black
    soul.” Later that day, Alkayyali texted Smith that he did not “feel good” and that he
    hated his life. He continued that he loved Moussa but that he wanted his “old wife”
    as he used to know her.
    2
    Evidence also established that Moussa had previously suffered from a
    ventricular septal defect (VSD)—a hole in her heart—that was surgically repaired in
    2013.
    3
    Alkayyali testified that the relationship continued to be strained after Moussa
    arrived in Texas such that Moussa slept in the bedroom and he slept on the couch.
    On May 27, Moussa sent Facebook messages to her brother saying that she and
    Alkayyali had argued loudly and that he moved toward her to put his hands over her
    mouth. But he stopped when she screamed “don’t touch me.” That night, Alkayyali
    and Moussa agreed to divorce.
    Alkayyali testified that, on the morning of May 28, he and Moussa argued as he
    prepared to go to work. He said that he pushed Moussa, that she started yelling, and
    that he put his hand over her mouth to stop her from yelling. They then fell to the
    floor, she bit him, and he released his hand; he put his hand over her mouth again to
    stop her from yelling, and then she fainted. He testified that he thought she merely
    fainted as in previous instances. He then carried her and set her unconscious on the
    bed.   Around 6:00 a.m., Alkayyali called a manager at the restaurant—Lauren
    Hastings—to say he would be late for work and left the apartment.
    While driving, Alkayyali called Smith at 6:29 am. He told Smith that he had hit
    his wife and covered her mouth, that she was not breathing,3 and that he was going to
    jail for the rest of his life. Smith told him to get help and to call 9-1-1. Alkayyali
    returned to the apartment and called 9-1-1. Police arrived and began CPR on Moussa
    and then a paramedic continued the CPR and intubated her, but they were unable to
    Alkayyali testified that the English word “fainting” is translated literally into
    3
    Arabic as “not breathing.”
    4
    revive her. The paramedic testified that he noticed bloody sputum in Moussa’s throat
    and “ligature lines” on her neck that, to him, indicated that she had been strangled
    with an object such as rope or a belt.
    Medical examiner Marc Krouse performed Moussa’s autopsy and concluded
    that the cause of her death was “homicide or death at the hands of another and
    asphyxia.”      However, Krouse did not testify at trial because he had since been
    terminated from his position at the medical examiner’s office for “lack of due
    diligence” displayed in many of his autopsy reports. A peer review of forty-one of
    Krouse’s autopsies revealed that he had made errors—at least one serious enough to
    change the cause of death from homicide to undetermined—in about twenty-five of
    those cases.4
    Testifying from Krouse’s autopsy report and pictures, medical examiner
    Richard Fries observed that Moussa had various lacerations and bruises on her lip and
    also “indistinct” bruising on her neck and chest. When asked about the bloody
    sputum observed by the paramedic, Fries explained that such a substance can appear
    when a person is suffocated or strangled manually. Further, the autopsy revealed
    petechiae5 under Moussa’s scalp. She did not, however, have any bruising under the
    4
    Moussa’s autopsy was not one of the forty-one included in this investigation.
    Richard Fries testified, however, that Krouse’s autopsy of Moussa had been peer-
    reviewed by at least five additional medical examiners.
    5
    Fries explained that petechiae sometime appear in the scalp and other places
    on the body when a person’s jugular vein is obstructed—for instance if they are being
    5
    skin in her neck or any broken bones in her neck. Nor did the autopsy show any
    ligature marks to suggest that Moussa had been strangled using an object. Based on
    the evidence, Fries agreed that Moussa’s death was properly classified as a homicide
    by asphyxia. He said that to manually strangle or smother someone to death would
    take “minutes.”
    Fries also discussed Moussa’s VSD repair, stating that it was intact at the time
    of her autopsy and that it was his opinion that it did not contribute to her death.
    According to Fries, even had the VSD not been repaired, he would not expect it to
    have caused immediate death but rather to have led to progressive and protracted
    heart failure.
    On the autopsy report, Krouse noted that Moussa’s VSD was “abutting the
    conduction system.” When asked about this notation on cross-examination, Fries
    explained that the heart’s conduction system regulates a person’s heart rate. He
    testified that the conduction system can be implicated when a person experiences an
    irregular heartbeat and fainting episodes, which can lead to death. And it is not
    uncommon when performing an autopsy on a person who has died from an irregular
    heartbeat for there to be “no documentable anatomic findings,” which might lead the
    medical examiner to arrive at an undetermined cause of death. He surmised, however,
    that Krouse included the conduction-system notation to simply describe the location
    strangled—and blood cannot escape the brain, causing capillaries to burst and
    hemorrhage.
    6
    of Moussa’s VSD.      He also pointed out that in 2018 Moussa had a “normal
    echocardiogram” that had not raised any concerning issues with her heart.
    B. INDICTMENT AND JURY CHARGE
    Alkayyali was charged with Moussa’s murder. The indictment against him
    contained two paragraphs alleging alternate theories of the murder:
    That Tareq Alkayyali . . . did then and there intentionally or knowingly
    cause the death of an individual, Wasam Moussa, by impeding the
    normal breathing or circulation of the blood of Wasam Moussa by
    applying pressure to her throat or neck with his hand or arm, or by
    blocking her nose or mouth with his hand or hands.
    That [Alkayyali] did then and there intentionally, with the intent to cause
    serious bodily injury to Wasam Moussa, commit an act clearly dangerous
    to human life, namely by impeding the normal breathing or circulation
    of the blood of Wasam Moussa by applying pressure to her throat or
    neck with his hand or arm or by blocking her nose or mouth with his
    hand or hands.
    Though the second paragraph omitted an element of the offense—that the act
    “causes the death of an individual”—Alkayyali did not object to the indictment. See
    
    Tex. Penal Code Ann. § 19.02
    (b) (providing the elements for the offense of murder).
    The jury charge instructed the jury members that they had “no right to
    disregard or give special attention to any one instruction, or to question the wisdom
    or correctness of any rule [the trial court] may state” and that it was their “duty to
    apply the law as [the trial court] explain[ed] it to [them], regardless of the
    consequences.” The abstract paragraph of the charge correctly included the “causes
    the death of an individual” element in the second theory. However, the application
    7
    paragraph omitted that element and instructed the jury that it must find Alkayyali
    guilty of murder if it found beyond a reasonable doubt that he
    intentionally or knowingly cause[d] the death of an individual, Wasam
    Moussa, by impeding the normal breathing or circulation of the blood of
    Wasam Moussa by applying pressure to her throat or neck with his hand
    or arm or by blocking her nose or mouth with his hand or hands; or [if it
    found that he] intentionally, with the intent to cause serious bodily injury
    to Wasam Moussa, commit[ted] an act clearly dangerous to human life,
    namely, by impeding the normal breathing or circulation of the blood of
    Wasam Moussa by applying pressure to her throat or neck with his hand
    or arm or by blocking her nose or mouth with his hand or hands . . . .6
    [emphasis added]
    Alkayyali did not object to the jury charge at trial.
    C. OTHER RELEVANT RECORD INFORMATION
    At voir dire and in closing arguments, both the State and Alkayyali’s attorney
    discussed generally the elements of murder, including that a person’s guilt arises only
    if his actions “cause the death” of the victim. However, before the evidence opened,
    the State read verbatim the indictment in the presence of the jury, which omitted the
    “causes the death of” language from the second theory. And contested issues about
    Moussa’s fainting, heart issues, and ultimate cause of death featured prominently in
    the opening and closing arguments of both the State and defense. Finally, at the
    punishment phase of trial, the jury was asked to determine the special issue of
    The application paragraph also contained instructions for the lesser-included
    6
    offenses of manslaughter and criminally negligent homicide; both of these instructions
    included the “causes the death of an individual” element. See 
    Tex. Penal Code Ann. §§ 19.04
    , 19.05 (providing the elements for the offenses of manslaughter and
    criminally negligent homicide).
    8
    whether Alkayyali murdered Moussa “under the immediate influence of sudden
    passion arising from an adequate cause.” During their deliberations, the jury sent a
    note to the trial court that asked how they should proceed if they did “not all agree it
    was sudden passion[?]”7
    In the end, the jury found Alkayyali guilty of murder and sentenced him to
    twenty-three years’ confinement.
    II. STANDARD OF REVIEW AND RELEVANT LAW
    When, as here, the defendant does not object to jury-charge error8 at trial and
    raises the issue for the first time on appeal, reversal is warranted only if the error
    resulted in egregious harm. Nava v. State, 
    415 S.W.3d 289
    , 298 (Tex. Crim. App.
    2013); Almanza v. State, 
    686 S.W.2d 157
    , 171 (Tex. Crim. App. 1985). Egregious harm
    is a difficult standard to meet and should be determined on a case-by-case basis.
    Marshall v. State, 
    479 S.W.3d 840
    , 843 (Tex. Crim. App. 2016); Villarreal v. State,
    
    453 S.W.3d 429
    , 433 (Tex. Crim. App. 2015). “[C]ourts are required to examine the
    relevant portions of the entire record to determine whether [the defendant] suffered
    actual harm, as opposed to theoretical harm, as a result of the error.” Marshall,
    7
    The trial court responded: “[i]n response to your note, please continue to
    deliberate,” and the jury ultimately found that sudden passion did not exist.
    8
    The State concedes, and we agree, that charge error occurred here because the
    application paragraph omitted an essential element of the offense of murder under
    Section 19.02(b)(2) of the Texas Penal Code. See Mendez v. State, 
    545 S.W.3d 548
    , 553
    (Tex. Crim. App. 2018); Flores v. State, 
    48 S.W.3d 397
    , 402 (Tex. App.—Waco 2001,
    pet. ref’d).
    9
    
    479 S.W.3d at 843
     (emphasis in original); Almanza, 
    686 S.W.2d at 174
    . “Charge error
    is egregiously harmful if it affects the very basis of the case, deprives the defendant of
    a valuable right, or vitally affects a defensive theory.” Villareal, 
    453 S.W.3d at 433
    ;
    Almanza, 
    686 S.W.2d at 172
    . In examining the record to determine whether charge
    error has resulted in egregious harm, we consider (1) the entirety of the charge; (2) the
    state of the evidence, including the contested issues and weight of probative evidence;
    (3) the arguments of counsel; and (4) any other relevant information revealed by the
    trial record as a whole. Villareal, 
    453 S.W.3d at 433
    ; Almanza, 
    686 S.W.2d at 171
    .
    In Texas, a person commits the offense of murder if he “(1) intentionally or
    knowingly causes the death of an individual” or “(2) intends to cause serious bodily
    injury and commits an act clearly dangerous to human life that causes the death of an
    individual.” 
    Tex. Penal Code Ann. § 19.02
    (b)(1)–(2). When more than one possible
    theory of a single criminal offense is alleged, the jury need not be unanimous as to
    which theory it relied upon in reaching its verdict. Young v. State, 
    341 S.W.3d 417
    , 422
    (Tex. Crim. App. 2011).
    III. DISCUSSION
    In his second point of error,9 Alkayyali argues that he was egregiously harmed
    by the omission of the “causes the death of” element from the second theory alleged
    in the jury charge’s application paragraph.       According to Alkayyali, the charge
    9
    We address Alkayyali’s second point of error first because its resolution will
    prove dispositive of the case. See Tex. R. App. P. 47.1.
    10
    impermissibly allowed the jury to convict him for murder without requiring it to find
    that he caused Moussa’s death. While the State agrees that there was charge error, it
    contends that the record taken as a whole does not show egregious harm.
    In support of his argument, Alkayyali relies heavily on Flores v. State, a case with
    remarkably similar charge-error facts. See 
    48 S.W.3d 397
    , 401–03 (Tex. App.—Waco
    2001, pet. ref’d). Flores was tried for murder but the jury convicted him on the lesser-
    included offense of criminally negligent homicide.        
    Id. at 403
    .   The application
    paragraph of the jury charge authorized the jury to convict Flores on this charge in
    the disjunctive, if he either “with criminal negligence . . . cause[d] the death of [the
    victim] by striking [the victim]; or . . . with criminal negligence cause[d] blunt force
    injuries to [the victim] in a manner and means to the grand jury unknown.” 
    Id.
     at
    401–02. Thus, like in our case, the “causes the death of” element was omitted from
    the second alleged theory in the application paragraph. 
    Id.
    The Waco court held that Flores was egregiously harmed by this error because
    it deprived him of his rights to due process and trial by jury, which rights entitle
    criminal defendants to have a jury determine guilt as to every element of the charged
    crime beyond a reasonable doubt. 
    Id. at 403
    . While we find Flores persuasive here, we
    cannot rely solely on its reasoning because it did not perform a full analysis of the
    Almanza factors in relation to the record. See Vasquez v. State, 
    389 S.W.3d 361
    , 370
    (Tex. Crim. App. 2012) (explaining that courts must undertake a “full Almanza
    analysis” in determining egregious harm).
    11
    A. ALMANZA FACTORS WEIGH IN FAVOR OF EGREGIOUS HARM
    As discussed above, an appeals court determines egregious harm stemming
    from jury-charge error chiefly by considering the factors outlined in Almanza.
    
    686 S.W.2d at 171
    . This task, however, has been no easy feat for Texas courts,
    including the Court of Criminal Appeals. Compare 
    id.,
     with Hutch v. State, 
    922 S.W.2d 166
    , 172–75 (Tex. Crim. App. 1996), and Gelinas v. State, 
    398 S.W.3d 703
    , 706–23 (Tex.
    Crim. App. 2013).     One dissenting opinion from that court went so far as to
    characterize Almanza as a “tragedy” and “conundrum” that has created conflicting
    and uneven decisions “because the factors used to distinguish between harm and
    egregious harm are difficult to decipher.” Gelinas, 
    398 S.W.3d 703
    , 713 (Meyers, J.,
    dissenting). We can attest to this difficulty, particularly given the weighty and tragic
    circumstances raised by the facts of this case. But, in the end, our task is clear: we
    must determine from the entire record—in light of the Almanza factors—whether the
    jury-charge error here affected the very basis of the case, deprived Alkayyali of a
    valuable right, or vitally affected one of his defensive theories.        See Villareal,
    
    453 S.W.3d at 433
    ; Almanza, 
    686 S.W.2d at 172
    ; see also Vasquez, 
    389 S.W.3d at 370
    .
    Guided by constitutional principles and considering the record before us, we
    hold that Alkayyali was egregiously harmed.
    1. Entirety of the Charge
    The jury charge contained the following relevant information:
    12
    • It instructed the jury that it had “no right to disregard or give special attention to
    any one instruction” and that its duty was to “apply the law as” the trial court
    explained it;
    • The abstract paragraph correctly included the “causes the death of” element for
    both theories of murder under Section 19.02(b)(1) and (2);
    • The application paragraph omitted the “causes the death of” element for the
    second theory and instructed the jury that it must find Alkayyali guilty of murder if
    he intentionally, with intent to cause serious bodily injury, impeded her breathing
    or blood circulation;
    • The application paragraph also included the elements for the offenses of
    manslaughter and criminally negligent homicide, both of which correctly included
    the “causes the death of” element.
    Through the jury charge, the trial court must instruct the jury “under what
    circumstances they should convict, or under what circumstances they should acquit.”
    Gray v. State, 
    152 S.W.3d 125
    , 128–29 (Tex. Crim. App. 2004) (internal quotations
    omitted). “The application paragraph is that portion of the jury charge that applies
    the pertinent law, abstract definitions, and general legal principles to the particular
    facts and the indictment allegations.” Vasquez, 
    389 S.W.3d at 366
    . Accordingly, the
    application paragraph has been described as the “heart and soul” of the jury charge
    because it is the portion of the charge that authorizes the jury to act. 
    Id. at 367
    ; Hutch,
    
    922 S.W.2d at 172
     (holding that “[i]t is not sufficient for the jury to receive an abstract
    instruction of the law” and holding in favor of egregious harm when the application
    paragraph incorrectly stated the law); see Gelinas, 
    398 S.W.3d at 707
     (declining to
    follow Hutch in placing “great weight” on charge error simply because it was located
    13
    in application paragraph but ultimately holding that such error did weigh in favor of
    egregious harm).
    Though the abstract paragraph correctly informed the jury of every element of
    murder, the application paragraph authorized them to convict Alkayyali of murder
    without having to find beyond a reasonable doubt that he caused Moussa’s death. In
    fact, taken as a whole, the charge instructed the jury members that it was their duty to
    do so. We are not persuaded that the inclusion of the “causes the death of” language
    in the abstract paragraph and the instructions for manslaughter and criminally
    negligent homicide sufficiently negated this harm. Rather, these aspects of the charge
    further highlight the confusion created on the face of the charge about what elements
    must be met for a person to be convicted of murder under Section 19.02(b)(2).
    We hold that this factor weighs in favor of egregious harm.
    2. State of the Evidence, Including Contested Issues and
    Weight of Probative Evidence
    We concede that the State presented ample probative evidence to support
    Alkayyali’s conviction and discuss this more fully in our evidentiary-sufficiency
    analysis below. However, the issue of Moussa’s cause of death—and, relatedly, Dr.
    Krouse’s history of faulty autopsies—was hotly contested and constituted Alkayyali’s
    chief defense. If even a single juror was persuaded that Moussa’s health issues created
    enough reasonable doubt as to the cause of her death, then Alkayyali could not have
    been convicted of murder.
    14
    Significantly, the charge error here related directly to this contested issue. By
    omitting the causation element from the second theory, the charge effectively erased
    Alkayyali’s main defense from the jury’s consideration. On this record and following
    this charge, a juror could have believed that Alkayyali assaulted Moussa but, due to
    her health issues, not been convinced beyond a reasonable doubt that the assault
    caused her death—and that juror could still have convicted him of murder. In other
    words, this charge functionally relieved the State of its burden to prove beyond a
    reasonable doubt that Alkayyali caused Moussa’s death under the second theory. For
    these reasons, we hold that this factor weighs in favor of egregious harm.
    3. Arguments of Counsel
    Both the State and Alkayyali discussed the elements of murder at voir dire and
    in closing arguments, to include numerous mentions of the “causes the death of”
    element. We hold that this factor does not weigh in favor of egregious harm.
    4. Other Relevant Record Information
    Before the State’s case-in-chief and in the presence of the jury, the indictment
    against Alkayyali was read verbatim, and that indictment omitted the “causes the
    death of” element from the second alleged theory. Additionally, during punishment
    deliberations, the jury sent a note to the trial court asking how to proceed if they were
    not unanimous as to the sudden-passion special issue. The State argues that this
    weighs against egregious harm because it shows that “the jury had agreed that
    Alkayyali caused Moussa’s death, but did not agree about whether he did so under
    15
    sudden passion for the purposes of assessing punishment.” Alkayyali, on the other
    hand, argues that the note weighs in favor of egregious harm because it shows that “at
    least some jurors did not believe this was an intentional or knowing murder, but voted
    to convict” on the second theory.
    We do not believe the jury note preponderates either for or against egregious
    harm in any significant way. Sudden passion does not relate directly to the particular
    cause of death, but rather it relates to premeditation and whether the anger or fear
    experienced by the defendant rendered him incapable of cool reflection. See Gonzales
    v. State, 
    717 S.W.2d 355
    , 357–58 (Tex. Crim. App. 1986). Indeed, the jury could have
    found sudden passion under either theory alleged here. Thus, any inferences drawn
    from a punishment-phase jury note regarding the specific theory utilized by individual
    jurors at the guilt/innocent phase would be so tenuous as to render them almost
    meaningless.
    However, because the jury was presented with the erroneous language from the
    indictment that omitted the “causes the death of” element from the second theory, we
    hold that this factor weighs slightly in favor of egregious harm.
    B. THE CHARGE ERROR DEPRIVED ALKAYYALI OF VALUABLE RIGHTS AND
    VITALLY EFFECTED HIS MAIN DEFENSIVE THEORY
    Constitutional due process “protects the accused against conviction except
    upon proof beyond a reasonable doubt of every fact necessary to constitute the crime
    with which he is charged.” Francis v. Franklin, 
    471 U.S. 307
    , 313, 
    105 S. Ct. 1965
    , 1970
    16
    (1985) (internal quotations omitted). Constitutional due process also “guarantees
    criminal defendants ‘a meaningful opportunity to present a complete defense.’” Crane
    v. Kentucky, 
    476 U.S. 683
    , 690, 
    106 S. Ct. 2142
    , 2146 (1986) (quoting California v.
    Trombetta, 
    467 U.S. 479
    , 485, 
    104 S. Ct. 2528
    , 2532 (1984)). These are “bedrock,
    axiomatic[,] and elementary” constitutional principles that protect a defendant from—
    among other things—jury charge issues that would effectively relieve the State of
    meeting its burden on every element of the charged offense. Francis, 
    471 U.S. at 313
    ,
    
    105 S. Ct. at 1970
     (internal quotations omitted); see Flores, 
    48 S.W.3d at 403
    . We hold
    the State to such a high burden in criminal prosecutions because the stakes—one’s life
    and liberty—are so great and because we as a society have made a “fundamental value
    determination” that it is “far worse to convict an innocent man than to let a guilty
    man go free.” Francis, 
    471 U.S. at 313
    , 
    105 S. Ct. at 1970
     (quoting In re Winship,
    
    397 U.S. 358
    , 372, 
    90 S. Ct. 1068
    , 1077 (1970) (Harlan, J., concurring)).
    Under the facts of this case, the omission of the “causes the death of” element
    from the application paragraph of the jury charge deprived Alkayyali of his right to
    due process and affected his main defensive theory by (1) relieving the State of its
    high burden of proving that he caused Moussa’s death beyond a reasonable doubt and
    (2) undermining his right to present a complete defense that sought to question that
    causation. Thus, we hold that this error egregiously harmed Alkayyali and sustain his
    second point of error.
    17
    C. THE EVIDENCE WAS LEGALLY SUFFICIENT
    In his fourth and fifth points of error, Alkayyali contends that the evidence was
    legally insufficient on the element of intent: whether the State proved beyond a
    reasonable doubt that he either intended to kill Moussa or that he intended to cause
    her serious bodily harm. Though we have sustained Alkayyali’s charge-error point, we
    must still consider his sufficiency point. See Moff v. State, 
    131 S.W.3d 485
    , 489–92
    (Tex. Crim. App. 2004) (explaining that appellate courts must consider sufficiency
    challenges even if reversal is required on other grounds because if the evidence is
    insufficient, the court must render a judgment of acquittal, which is greater relief than
    reversal and remand). We hold that the evidence was legally sufficient to support the
    jury’s verdict.
    In our evidentiary-sufficiency review, we view all the evidence in the light most
    favorable to the verdict to determine whether any rational factfinder could have found
    the crime’s essential elements beyond a reasonable doubt. Jackson v. Virginia, 
    443 U.S. 307
    , 319, 
    99 S. Ct. 2781
    , 2789 (1979); Queeman v. State, 
    520 S.W.3d 616
    , 622 (Tex.
    Crim. App. 2017). The standard of review is the same for direct and circumstantial
    evidence cases; circumstantial evidence is as probative as direct evidence in
    establishing guilt. Carter v. State, 
    620 S.W.3d 147
    , 149 (Tex. Crim. App. 2021), cert.
    denied, 
    142 S. Ct. 859 (2022)
    .
    “A person acts intentionally, or with intent, with respect to the nature of his
    conduct or to a result of his conduct when it is his conscious objective or desire to
    18
    engage in the conduct or cause the result.” 
    Tex. Penal Code Ann. § 6.03
    (a). A
    factfinder may infer that a person intends the natural consequences of his acts.
    Harmel v. State, 
    597 S.W.3d 943
    , 954 (Tex. App.—Austin 2020, no pet.) (citing Medina
    v. State, 
    7 S.W.3d 633
    , 637 (Tex. Crim. App. 1999)). Intent may be inferred from any
    facts tending to prove its existence, including the method of committing the crime;
    the wounds inflicted on the victim; and the defendant’s acts, words, and conduct. 
    Id.
    The jury heard ample circumstantial evidence probative of intent:
    • Alkayyali’s and Moussa’s marriage was undisputedly strained and she consistently
    requested a divorce;
    • Immediately preceding Moussa’s death, Alkayyali told Smith that Moussa treated
    him like “shit,” that their situation was “bad,” that Moussa had a “black soul,” and
    that he hated his life;
    • Alkayyali testified that, on the morning of Moussa’s death, he had been sleeping on
    the couch and they argued;
    • Alkayyali admitted that he pushed Moussa and repeatedly placed his hands on her
    mouth;
    • Alkayyali testified that, during this struggle, Moussa became unconscious;
    • With Moussa unconscious, Alkayyali left the apartment and called Smith to say
    that he had hit Moussa and covered her mouth, that she was unconscious, and that
    he was going to jail;
    • The paramedic noticed bloody sputum and ligature marks on Moussa’s throat,
    which led him to believe that she had been strangled;
    • The medical examiner ruled Moussa’s death a homicide by asphyxia and testified
    that this was supported by her various injuries, the bloody sputum, and petechiae
    under her scalp; and
    19
    • The medical examiner testified that it would take “minutes” to manually strangle
    or smother someone to death.
    Taken as a whole and viewed in the light most favorable to the verdict, we hold
    that this constituted sufficient evidence for a rational juror to conclude that Alkayyali
    acted with the requisite intent to convict him of murder. See Harmel, 597 S.W.3d at
    954–55 (holding evidence was sufficient to prove intent to murder when the victim’s
    injuries indicated that she had been strangled to unconsciousness and that the
    defendant left her in that state). We overrule Alkayyali’s fourth and fifth points of
    error.
    IV. CONCLUSION
    Having held that Alkayyali was egregiously and reversibly harmed by
    jury-charge error and overruled his points on evidentiary sufficiency, we need not
    consider his remaining points of error. See Tex. R. App. P. 47.1. We reverse his
    murder conviction and remand to the trial court for further proceedings. See Hutch,
    
    922 S.W.2d at 174
     (reversing and remanding upon holding that appellant was
    egregiously harmed by jury-charge error).
    /s/ Brian Walker
    Brian Walker
    Justice
    Publish
    Delivered: April 20, 2023
    20