Four doctors have determined on Friday that Alissa is not mentally competent to participate in court proceedings, and he has deteriorated over the past couple of months while in jail.
Colorado state experts have concluded that suspected mass shooter Ahmad Alissa suffers from a mental health condition and cannot assist in his defense, making his unfit for trial.
Ahmad Al Aliwi Alissa was already charged with 10 counts of attempted murder, murder and weapons offenses
On Wednesday, prosecutors added another 44 counts to the indictment
Alissa is now charged with 54 counts; he is being held without bail in jail
On March 22, he shot dead 10 people at the King Soopers in Boulder, Colorado
His motive remains unclear - he had been bullied in school and was described by family as a loner who d never had a girlfriend
Boulder gunman, 21, was 'chuckling' as he murdered ten people dailymail.co.uk - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from dailymail.co.uk Daily Mail and Mail on Sunday newspapers.