Murdered architect Joanna Yeates had 43 separate injuries on her body and suffered a slow, painful death, the jury at the trial of the man accused of killing her has heard.
Vincent Tabak, whose trial at Bristol Crown Court began on Monday, was flanked by four security guards and sat with his head in his hands for the majority of the prosecution's speech.
The court heard that 25-year-old Yeates had grip marks on her wrist and her nose had been fractured. Pathologists reported finding 43 injuries, bruises and abrasions on her head, neck, trunk, arms and legs.
The prosecution said Yeates' injuries to her face, side of her head and upper limbs show contact with a roughened surface while she was still alive. The injuries to the front and the back of her body indicated two hands were used to kill her.
Yeates was strangled after walking home alone to her flat in Clifton, Bristol, after drinks with work colleagues.
Toxicology tests on Yeates' body were consistent with her having drunk one-and-a-half to two-and-a-half pints of cider.
Scientists confirmed she had not eaten the Tesco Finest pizza she bought on the night of her death - which was also never found. The last meal Yeates ate were cheesy chips with her boyfriend at lunchtime on the day she was killed.
Nigel Lickley, QC, for the Crown, told the court Tabak used his height and build to overpower Yeates, who was 5ft 4in. According to the prosecution, Tabak pinned her to the floor by her wrists as she struggled violently to get free.
"He might have let go but he did not," Lickley said. "He knew that Miss Yeates was in pain but struggling to breathe."
In his speech, Lickley explained the post-mortem carried out by Dr Russell Delaney concluded Miss Yeates died as result of compression to the neck.
"The overall pattern of injuries indicate an episode of manual compression of the neck that is known as strangulation", Lickley told the court.
"The injuries mean that Miss Yeates was alive when the injuries to her neck took place and death was not instantaneous. In other words it took some time and sufficient force was used to kill her."
The court also heard how Tabak allegedly gave police "false and dishonest" statements to the police after being questioned about Yeates' death. According to the prosecution, Tabak also accused detectives investigating the case of creating false forensic evidence to try and implicate him in the murder.
33-year-old Tabak, who lived in the ground floor flat next to the blonde architect, is accused of murdering Yeates on 17 December.
Lickley told the court that blood stains on a wall where Yeates' body was found three miles away from her Clifton flat suggested Tabak had tried to lift her over the wall to dump the body in a nearby quarry.
When this failed, he allegedly attempted to cover her body with leaves and packed them around her body. The engineer left Yeates' corpse on a snowy verge, with her jeans still fastened and her pink top partially pulled up over her head.
The prosecution said Tabak first confessed to killing his neighbour while he was in custody, six weeks after Yeates' death. The confession came during a conversation with a Salvation Army chaplain, where Tabak was alleged to have told the chaplain he was "sorry."
"Vincent Tabak went on to say that he was going to plead guilty", Lickley added. The prosecutor also insisted Tabak was fully in control and the killing was calculated.
He has admitted manslaughter but denies murder.
On Monday the prosecution told the court heard how Tabak sent a text to his girlfriend immediately after killing Yeates saying he was "bored".
He also sent emails to his girlfriend to cover his tracks, Lickley told the jury.
The court has now been adjourned for the day and the jury sent home. On Wednesday they will visit her flat, the scene where her body was dumped, and retrace Yeates' footsteps on the day she died.