Page "Buffalo Bill (character)" Paragraph 3

Gumb's modus operandi is to approach a woman, pretending to be injured and asking for help, then knocking her out in a surprise attack and kidnapping her.

He takes her to his house and leaves her in a well in his basement, where he starves her until her skin is loose enough to easily remove.

In the first three cases, he leads the victim upstairs, slips a noose around their necks and pushes them from the stairs, strangling them.

Then he skins part of their body ( a different section on each victim ), and then dumps each body into a different river, destroying any trace evidence.

In the case of his first victim, Fredrica Bimmel, he weighed down her body, so she ends up being the third victim found.

In the case of the fourth victim, he shoots her instead of strangling her, then inserts a Death's-head Hawkmoth in her throat, and dumps the body.