WARNING: The video below is disturbing.

The jailhouse video shows California sheriff’s deputies watching and sometimes laughing as a schizophrenic man strapped naked to a chair for 46 hours writhes on the floor of his cell, loses consciousness and eventually dies.

The Tribune of San Luis Obispo on Friday posted a nearly eight-minute video of Andrew Holland’s death on Jan. 22, 2017. The newspaper said it reviewed more than 100 hours of jailhouse surveillance video in all.

San Luis Obispo County Administrative Officer Wade Horton called the footage “extremely painful to watch.”

Last year, the county awarded Holland’s family $5 million for his death, which a medical examiner determined was caused by a pulmonary embolism.

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