It shows Harrouff being restrained at St. Mary's Medical Center soon after authorities said he killed two people near Tequesta.

STUART — A Martin County judge has ruled a video of Austin Harrouff being restrained by hospital staff and law enforcement at St. Mary's Medical Center soon after investigators said he killed two people can be released.

Harrouff, who appeared in court Monday morning before Circuit Judge Sherwood Bauer Jr., is charged with two counts of first-degree murder in the Aug. 15, 2016, deaths of John Stevens and his wife, Michelle Mishcon, at their Martin County home.

The case made international headlines after investigators said they found Harrouff on top of Stevens, biting his face and making growling noises. Harrouff reportedly told deputies on the way to the hospital that he ate humans. In March, a report by a forensic psychologist revealed Harrouff believed he was a "half-man, half dog" at the time of the attacks.

Harrouff, 22, is set to go to trial in November.

A motion to disclose video evidence filed last week by one of Harrouff's defense attorneys, Jordan Showe, said the recording showed Harrouff in the hospital bed "fighting against his restraints." Showe said it also captured "the mental status of (Harrouff) at the time." Harrouff's team of lawyers said they will rely on the an insanity defense for the case.

Harrouff was taken to the trauma hospital on Aug. 15, 2016, because medical staff believed he may have ingested something harmful during the fatal attacks. Harrouff was in the hospital for nearly two months until his arrest on Oct. 3, 2016.

Included in the motion was an email from a Martin County Sheriff's deputy who was assigned to be in Harrouff's hospital room. Deputy Crystal Duncombe wrote to investigators to say the then 19-year-old kept waking up from "full sedation."

"The nurse added a normal person should never wake up with the amount of sedation he is on," Duncombe wrote in an email dated Aug. 20, 2016, less than a week after the attacks. 

Duncombe said hospital staff told her it would be safer to have two deputies in the room when they reduced his sedation because he was attempting to kick and get his hands free.

"I just wanted to give you a heads-up so no one is in a bad position when they decide to wake him up," she wrote. "When they do try and wake him up they will fully sedate him again if he acts too crazy."

Bauer said the video can be released but, on request of a lawyer for the hospital, the faces of everyone in the video other than Harrouff must be blurred. It's unclear when the video, which reportedly is a minute long, will become a part of the public record.

This isn't the first time the release of video has been the subject of a court hearing in the Harrouff case. In 2017, lawyers argued over the release of a bedside interview with Harrouff and syndicated talk show host, Dr. Phil McGraw. The interview was conducted days before Harrouff was arrested in 2016 while he recovered in the hospital

In addition to the video ruling Monday, Bauer ruled the questions and answers between Harrouff and Dr. Phillip Resnick, the forensic psychologist who wrote a 38-page mental health report, be made available to prosecutors.

Monday's court hearing was the first since the mental health report was released. In the report, Resnick said Harrouff believed he was "half-man, half-dog" when he killed the couple in front of their home.

"The fact that Mr. Harrouff persisted in biting the male victim in the presence of police officers, in spite of threats of being shot, being tased and receiving multiple kicks to the head, suggests that Mr. Harrouff was actively psychotic," Resnick wrote.