Matthew Ecker called for help from Alexandra Pennig’s St. Paul apartment at 2:50 a.m. on December 16, 2022. He was crying and saying that his girlfriend had sh*t herself in the head.

When officers got there, they found 32-year-old Alex de*d in the bathroom with a single bu*let wound to her temple and her feet strangely straddling the door. These details would prove Ecker’s story wrong.
Alex, a lively nurse whose laugh lit up clinics, had fought addiction but wanted to get better and find love. Ecker, 45, a married ER doctor from Fergus Falls, said they came back from the bars happy and without any fights.
But his dry hands—no g*npowder residue—and changing stories raised red flags: first, a su*cide after locking herself in; later, a walk to cool off after seeing her other boyfriend, Shane Anderson, who had punched Ecker earlier.
Can you feel the pain of betrayal in a story about secret affairs? Ecker and Alex’s two-year romance was hidden by his family life.
He gave her medicine, even Adderall, which made it hard to tell who was in charge of her care. At 2:30 a.m., surveillance showed them going in together, which was the last time she was alive. After that, there was silence, except for his call four minutes after the sh*t.
In February 2024, the trial held Ramsey County’s attention as jurors looked at the evidence: there was no blo*d on the g*n and a piece of the door lock under her body that suggested it was open.
Ecker, a pro in the ER, “forgot” the basics of CPR and how to wash her hands before helping her. After nine hours, he was found guilty of second-degree m*rder and sentenced to 30 years in prison with no chance of parole. His appeals were denied in April 2025.
Alex’s family, including her father Jim Pennig, mourned the loss of their “happy, generous” daughter who was taken by lies.
Friend Molly Hovland yelled, “30 years? That isn’t fair. Vigils light up the streets of St. Paul, and her smile is on posters that say, “Find the shadows in love, and look for the truth before silence takes another.”
In the end, the echo in a bathroom holds the unfair fade of a life. Ecker’s chains can’t take away Alex’s light. Her whisper stays: love honestly and watch closely before a sh*t takes you away forever.