Frank Strada, commissioner of the Tennessee department of correction, is now linked to five botched executions across two states in four years. The latest — Wednesday's failed execution of Christa Pike, the first US death row prisoner to survive lethal injection — has triggered an international outcry and a gubernatorial suspension of executions through year-end. Pike, 50, was heard choking and struggling an hour after receiving pentobarbital. A second dose failed to kill her. She remains unconscious on a ventilator. Her lawyers called the process "cruel and torturous." The Death Penalty Information Center called it the worst botched execution in modern history. Strada's record predates Tennessee. As deputy prison director in Arizona, he oversaw three executions in 2022 — Clarence Dixon, Frank Atwood, and Murray Hooper — all classified as botched by the Death Penalty Information Center. In each case, execution teams struggled to locate veins, requiring groin incisions or the prisoner himself helping officials find an access point. Arizona's own corrections director later acknowledged "inadequate knowledge and expertise" among execution personnel and concerns about IV procedures and drug efficacy. Governor Bill Lee appointed Strada to lead Tennessee's prisons in early 2023, despite this record and despite a 2022 state-commissioned report that had already found Tennessee's execution program had a "tunnel-vision, result-oriented" approach, failed to follow protocols, and improperly tested drugs. Strada proceeded to reduce training requirements. Under his predecessor, execution team members practiced catheterization with saline on live subjects. Strada's guidelines eliminated that requirement. He also maintained a two-person IV team mirroring Arizona's older, failed model — even after Arizona itself expanded its teams and increased training rigor. In a November 2025 deposition, Strada was asked what he considered a successful execution. His answer: "The condemned is put to death." Anything else? "No." He acknowledged failing to implement several recommendations from the 2022 independent report, including hiring pharmaceutical consultants for drug sourcing and injection guidance. The May 2026 execution of Tony Carruthers — where officials spent over an hour trying to locate a vein before calling off the procedure — was the fourth failure under Strada's watch. Pike's was the fifth. Tennessee keeps secret the identities of execution personnel, drug suppliers, and basic facts about its lethal injection protocols. Strada has declined to say whether he uses the same drug supplier from Arizona, whether the supplier complied with FDA regulations, or what procedural safeguards exist. Governor Lee's response has been to defend process while ordering a review. "So far as we know, the department of correction followed exactly the protocol that was outlined," he said — a statement that indicts the protocol itself. The core question is not whether Strada followed the rules, but who wrote them, who weakened them, and why the man responsible for three botched executions in Arizona was given authority over a system already in crisis.