Johnson v. State ( 2023 )


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  •  NOTICE: This opinion is subject to modification resulting from motions for reconsideration under Supreme Court
    Rule 27, the Court’s reconsideration, and editorial revisions by the Reporter of Decisions. The version of the
    opinion published in the Advance Sheets for the Georgia Reports, designated as the “Final Copy,” will replace any
    prior version on the Court’s website and docket. A bound volume of the Georgia Reports will contain the final and
    official text of the opinion.
    In the Supreme Court of Georgia
    Decided: June 21, 2023
    S23A0338. JOHNSON v. THE STATE.
    PINSON, Justice.
    Reginald Demarcus Johnson was convicted of felony murder
    and first-degree cruelty to children in connection with the death of
    his six-month-old daughter, Jordan. 1 On appeal, Johnson contends
    1The crimes occurred in April 2016. Johnson was indicted by a DeKalb
    County grand jury in May 2016 on one count each of malice murder, felony
    murder, and cruelty to children in the first degree. After a jury trial held in
    August 2016, Johnson was acquitted of the malice-murder charge but found
    guilty of felony murder and first-degree child cruelty. Johnson was sentenced
    to serve life in prison for felony murder; the child-cruelty count was merged
    into the felony murder count for sentencing purposes. Prior to his sentencing,
    Johnson filed a premature motion for new trial on October 3, 2016, which
    ripened upon the entry of the final disposition on October 5, 2016. See Southall
    v. State, 
    300 Ga. 462
    , 464-467 (1) (
    796 SE2d 261
    ) (2017). Johnson amended his
    motion for new trial through new counsel in August and December of 2020 and
    January of 2021. The trial court held a hearing on the motion for new trial in
    September 2021. Johnson filed a premature notice of appeal on November 29,
    2021, which he withdrew on January 4, 2022. The trial court denied the motion
    for new trial on August 15, 2022, and Johnson filed a timely notice of appeal
    on August 30, 2022. The appeal was docketed to the term of this Court
    beginning in December 2022 and was thereafter submitted for a decision on
    the briefs.
    that (1) the evidence was insufficient to support his convictions; (2)
    the verdict was contrary to the law and evidence and strongly
    against the weight of the evidence; (3) the trial court erred by
    admitting certain photographs taken before and during the autopsy;
    (4) the trial court erred by limiting the defense’s cross-examination
    of Jordan’s mother; (5) the trial court erred by allowing certain
    testimony by the medical examiner; (6) the trial court erred by
    excluding testimony about the defense’s unsuccessful effort to
    procure a witness; and (7) the trial court committed plain error by
    failing to give a jury instruction on accident.
    Each of these claims fails. When viewed in the light most
    favorable to the verdicts, the evidence at trial showed that Jordan
    died from blunt force trauma to the head that was intentionally
    inflicted within the twelve-hour period when she was in Johnson’s
    sole care and that the evidence was sufficient to sustain the
    convictions as a matter of constitutional due process. And the jury
    was authorized to find that the evidence, although circumstantial,
    excluded every reasonable hypothesis other than that of Johnson’s
    2
    guilt, so the evidence was also sufficient as a matter of Georgia
    statutory law. The trial court’s refusal to grant a new trial on the
    “general grounds” is not subject to this Court’s review, so that claim
    fails. The autopsy photographs, used by the medical examiner to
    help explain his conclusions about Jordan’s injuries, were probative
    as to both the timing and the manner of injury, and the trial court
    did not abuse its discretion in concluding that the danger of unfair
    prejudice from their admission did not substantially outweigh their
    probative value. And even if the single “pre-autopsy” photograph
    should not have been admitted, it is highly probable that this
    photograph—which was far less graphic than the properly admitted
    autopsy photographs—did not contribute to the verdicts. Finally,
    the trial court did not abuse its discretion in prohibiting the defense
    from cross-examining Jordan’s mother on a topic not relevant to
    Johnson’s guilt or innocence; did not plainly err in allowing certain
    testimony by the medical examiner on a subject which his
    experience qualified him to speak on; did not abuse its discretion in
    refusing to allow testimony about the defense’s effort to procure a
    3
    witness, when it had failed to avail itself of the statutory material
    witness subpoena procedure; and did not plainly err in failing to give
    a jury instruction on accident because this theory was at odds with
    not only Johnson’s primary defense but also the overwhelming
    weight of the evidence. We therefore affirm Johnson’s convictions
    and sentence.
    1. The evidence at trial showed as follows.2
    (a) At 6:40 a.m. on April 4, 2016, emergency responders were
    dispatched to a DeKalb County home after Johnson made a 911 call
    to   report    that   his    six-month-old     daughter,     Jordan,     was
    unresponsive. One of the paramedics who responded testified that
    she could tell Jordan had suffered a brain injury, based on her
    unequally dilated pupils and the swelling and bruising on her right
    temple. She said that Johnson at the time seemed a little nervous
    2Our resolution of two of Johnson’s claims requires an assessment of the
    harm of presumed or actual trial errors. To undertake that assessment, we
    must “review the record de novo, and we weigh the evidence as we would expect
    reasonable jurors to have done.” Moore v. State, 
    315 Ga. 263
    , 264 (1) n.2 (
    882 SE2d 227
    ) (2022) (citation and punctuation omitted). In light of that standard
    of review, we recount the evidence here through that lens rather than
    recounting it in the light most favorable to the jury’s verdict.
    4
    but not distraught. She also said that Johnson told her that Jordan’s
    twin brother sometimes “head-butted” her, but she did not believe
    Jordan’s injuries could have happened that way.
    Another of the emergency responders testified that Johnson’s
    demeanor “wasn’t like a frantic parent would be.” That witness
    testified that Johnson told her that he woke up in the night and saw
    Jordan’s twin “laying on top of her suffocating her.” When she told
    Johnson his story was “not adding up” and that Jordan could not
    have sustained her injuries that way, Johnson suggested that
    “maybe it was when [she] rolled off the bed.” He denied dropping her
    by accident or hitting her, then “got quiet” and suggested that
    “maybe the other child did it.”
    The pediatric emergency physician who treated Jordan at the
    hospital testified that Jordan’s CT scan showed fractures on both
    sides of her skull and bleeding in the brain. Those injuries, he
    opined, could not have been caused by another six-month-old in the
    ways Johnson suggested and would have had to have resulted from
    “major trauma” such as a car accident without seatbelts, getting hit
    5
    or kicked with great force, or falling from a “great height.” In
    addition, the effects of the head trauma would have been noticeable
    within minutes to an hour of the trauma, such that Jordan would
    not have engaged in normal movement or made normal noises.
    A hospital social worker who spoke with Johnson testified that
    Jordan’s injuries were “completely inconsistent” with Johnson’s
    story and that, based on the severity of the injury and the absence
    of any obvious explanation for it, she suspected child abuse and
    determined that law enforcement needed to be contacted.
    (b) Jordan’s mother, Ciara Cole, testified about the chronology
    of events on April 3 and 4. At the time, she and the twins were living
    at her mother’s home, and Johnson, who had lived with them at one
    time, was living with his aunt, Sallie White. On April 3, Cole and
    the twins were at her mother’s home until about 2:30 p.m., when she
    left for a short time to pick Johnson up from work. When they
    returned, they were arguing. While she took a shower, Johnson took
    the twins, left the house, and walked to a nearby restaurant. She
    tracked them down and drove there, and they all left together to go
    6
    to Johnson’s grandmother’s house. Johnson’s father, who was at the
    house, took Jordan in the house for about five minutes; at that time,
    Jordan seemed “normal.” After a short time, Cole took Johnson and
    the twins to White’s home, where they were to stay that night. She
    dropped them off, went back to her mother’s home, and later went
    out with friends. Throughout the night and into the morning, Cole
    exchanged texts with Johnson, checking on the twins. Johnson never
    indicated there was anything unusual, until he called early on the
    morning of April 4 to tell her Jordan was unresponsive. Ultimately,
    on April 7, once the extent of Jordan’s injuries was known, the
    decision was made to take her off life support.
    Cole testified that she had suffered from depression after the
    twins were born. She also admitted that, after Jordan died, she
    began using cocaine and had been arrested for cocaine possession
    and theft by shoplifting, and that such charges were still pending at
    the time of trial. Cole said she had been offered no deal in exchange
    for her testimony here. In addition, Cole admitted that her other
    children “live with other people right now,” although she visits with
    7
    them.
    Cole’s mother, Robbie Johnson, testified that on April 3, Cole
    and the twins were at her home until the mid-afternoon; that she
    had awakened around lunchtime that day and nothing was unusual;
    that Cole and Johnson were arguing after Cole picked him up from
    work; and that Jordan was fine. She also testified that after Jordan’s
    death, Cole had a “nervous breakdown” and started using cocaine.
    (c) Dr. Stephen Messner, the chair of the hospital’s child abuse
    pediatrics department, and Peggy Woodard, a social worker with the
    Department of Family and Children Services (DFCS) who was called
    in to assess Jordan’s case, both testified about the hospital’s
    investigation. Woodard, together with a hospital fellow working
    under Dr. Messner’s supervision, interviewed Johnson at the
    hospital. Johnson told Woodard he did not know what had caused
    Jordan’s injury, but guessed that her twin brother had kicked her.
    He said that Jordan had been acting normally on April 3 but that
    she had not taken much of her bottle. He said he was alone with the
    twins from around 6:30 until around 9:30 that evening, when his
    8
    aunt got home. His aunt saw the twins and all was fine. Johnson
    said that the twins slept with him in a queen-sized bed and that they
    went to sleep around 10:00 p.m. A few hours later, Jordan awoke,
    crying, and he noticed her brother was kicking her. He shifted his
    son and calmed Jordan, and they went back to sleep. Johnson woke
    up again around 5:00 a.m. and noticed that his son was situated with
    his “torso laying on [Jordan].” He moved his son and picked up
    Jordan, who he realized was unresponsive. So he “shook her lightly”
    and tried to rouse her with some water; when that didn’t work, he
    went to his aunt, who told him to call 911. Woodard described
    Johnson’s demeanor as “calm,” “cooperative,” and “relaxed,” in
    contrast to Cole, who was “visibly upset.” Johnson said that April 3
    was the second time he had had the twins with him overnight by
    himself. Although Johnson would later claim he accidentally hit
    Jordan’s head against the bed’s headboard before they all went to
    sleep that night, Johnson made no mention of this in his interview
    with Woodard.
    Dr. Messner, who was qualified as an expert in child abuse
    9
    pediatrics, testified that Jordan’s CT scans showed fractures on the
    back and both sides of her skull. Based on their length, and the fact
    that they were “depressed” and exhibited “branching,” Dr. Messner
    opined that they must have been caused by “significant force.”
    Subdural hemorrhages were indicative of trauma characterized by
    rapid twisting or rotating. These injuries, he opined, could not have
    been caused by a fall. And nothing that was reported in Jordan’s
    history—getting kicked or rolled on by her brother, light shaking, or
    a minor bump against a headboard—could have caused the injuries.
    He opined that Jordan would have shown signs of distress
    immediately or within moments of sustaining her injuries. In his
    opinion, her injuries were consistent with physical abuse.
    (d) In an interview at the hospital with a DeKalb County police
    detective, Johnson maintained that he did not know what had
    happened and that Jordan had been fine the night before, other than
    refusing to take her bottle. And again he mentioned that Jordan’s
    brother was lying on his sister’s head at one point and suggested
    that perhaps he had kicked or head-butted her during the night. He
    10
    did not mention anything about accidentally hitting Jordan’s head
    against the headboard.
    The lead detective in the case, Gregory Moore, testified that,
    after Jordan’s death, he tried to contact Johnson on April 7 and 8
    but could not reach him, and Johnson failed to return the calls. After
    another unsuccessful try on April 9, Detective Moore obtained an
    arrest warrant. Johnson was ultimately arrested on April 10 when
    he appeared in court in an unrelated DFCS proceeding—at which he
    appeared only after initially failing to show up and being called in
    by a DFCS case-worker.
    Following Johnson’s arrest, Detective Moore interviewed
    Johnson, an audio recording of which was played for the jury.
    Johnson continued to insist that he had done nothing to hurt Jordan,
    that he “wasn’t rough with” the twins, that Jordan was “fine,” and
    that he did not know what had happened to her. He denied he had
    ever “put hands on” his kids or any of his romantic partners. He said
    he “wasn’t even angry that night.” And he said no accident had
    happened. He then suggested that “maybe [he] fell asleep and rolled
    11
    over on her.” After a break in the interview, Johnson began with, “I
    didn’t think this was an issue because she didn’t cry, but . . .” He
    went on to explain that at one point in the evening before they went
    to sleep, he was on the bed with Jordan on his chest when he noticed
    that her brother had spit up, causing him to react by jumping up
    and accidentally hitting Jordan’s head against the headboard. He
    said she did not cry, so he laid her on the bed so he could clean up
    his son. He said he “really forgot” that this had happened, and that
    “that’s the only thing that happened.” Detective Moore said Johnson
    showed little emotion during the interview. Johnson also gave a
    written statement that tracked what he said in the interview,
    including the part about the headboard.
    (e) The medical examiner who performed Jordan’s autopsy, Dr.
    Gerald Thomas Gowitt, testified that Jordan had significant head
    trauma but few external injuries, which was not unusual in a case
    of child abuse. Examination of Jordan’s head revealed substantial
    hemorrhaging and bruising and multiple skull fractures, including
    a 10-inch fracture running from one side to the other and additional
    12
    fractures on each side with “tributaries” branching off. The fracture
    patterns indicated multiple impacts of “considerable force” and were
    not characteristic of a simple fall; the only possible accidental cause
    of such injuries would be a car crash or a fall from a great height.
    There was no evidence that any of these injuries had begun to heal.
    In addition to the brain injuries, there was retinal hemorrhaging in
    both eyes, the characteristics of which were “highly suggestive of
    acceleration and deceleration of the head at high speed.”
    Dr. Gowitt also testified that once a fatal head injury is
    inflicted, the symptoms appear almost immediately and are obvious,
    even to a layperson. So too, he said, for the retinal hemorrhaging;
    after an injury of that type, a child likely would be unconscious and
    would not be smiling, cooing, or otherwise responding. Because of
    the lack of external injuries, Dr. Gowitt opined that it was likely that
    Jordan had been slammed into something hard, smooth, and broad,
    and that an adult male would be capable of creating enough force to
    cause those injuries. According to Dr. Gowitt, six-month-olds have
    the same sensory nerves as adults, so they have the same ability to
    13
    feel pain.
    Dr.     Gowitt   concluded   that   the   cause   of   death   was
    craniocerebral trauma and the manner of death was homicide.
    (f) Johnson’s counsel cross-examined the State’s medical
    experts about the concept of a “lucid interval,” which can occur after
    a person has suffered head trauma. As these experts testified, head
    trauma victims typically experience confusion, loss of consciousness,
    or other symptoms immediately after sustaining the injury, but that
    initial period is sometimes followed by a “lucid interval” during
    which the victim appears “asymptomatic,” before symptoms
    reappear. The emergency physician, while agreeing on cross that he
    could not “rule . . . out medically” the theory that Jordan had
    experienced a lucid interval, testified on redirect that “you don’t
    suffer this degree of trauma . . . and then have a lucid period.” Dr.
    Messner testified that the “vast majority” of lucid intervals occur
    when the patient is experiencing epidural bleeding rather than—as
    14
    Jordan experienced—subdural bleeding. 3 And Dr. Gowitt opined
    that Jordan’s injuries were not those with which he might expect to
    see a lucid interval.
    Johnson’s counsel also unsuccessfully sought, in cross-
    examining Cole and Cole’s mother, to elicit that Cole’s sister and
    brother had been present during the day on April 3 when she and
    the twins had been at her mother’s home. Johnson’s counsel did,
    however, elicit from Woodard that her notes indicated Cole had told
    her that her brother and sister had been playing with Jordan at
    their mother’s home on April 3.
    (g) After the State rested, the defense called its own expert
    forensic pathologist, Dr. Janice Ophoven, who concluded that
    Jordan had died from blunt force trauma to the head, “consistent
    with a single impact,” and opined that Jordan could have
    experienced one or more lucid intervals during which her body was
    3  Dr. Gowitt explained that between the inside of the skull and the
    outside surface of the brain there are two “spaces”: the “epidural” space and
    the “subdural” space, which lies between the epidural space and the brain
    itself.
    15
    “compensating” after sustaining the initial injury. She described the
    skull fracture as an “eggshell fracture,” “characteristic of babies of
    less than a year because of their deformable skull,” and opined that
    the injury had been inflicted sometime within the 24-hour period
    before she became unresponsive, the complications from which had,
    “over time,” led to brain swelling and death. Dr. Ophoven opined
    that the retinal hemorrhages could have been caused by medical
    intervention and thus were not necessarily indicative of any
    particular mode of injury. She also opined that the fact that Jordan’s
    twin was found lying on top of her could have affected her injury,
    and that Jordan’s mother’s depression and substance abuse were
    “red flags.”
    Johnson himself testified, maintaining that he had done
    nothing to cause his daughter’s death or any pain and described
    himself as having a loving, kind, and peaceful nature. He said he
    had concerns about Cole’s depression and had on a prior occasion
    reported those concerns to a DFCS worker in connection with a
    hospital visit for Jordan’s twin brother. He recounted Cole’s
    16
    chronology of April 3 from the time Cole picked him up until she
    dropped him and the twins off at his aunt’s home. He said that, after
    arriving at his aunt’s, he played with the twins, watched TV with
    them, gave them their bottles—although Jordan did not take hers—
    and then put them to bed. He said Jordan seemed fine that afternoon
    and evening, aside from refusing her bottle and having a runny nose.
    He recounted the headboard incident, waking up in the night to find
    Jordan’s brother kicking her, and later waking up to find him lying
    on top of her, with Jordan unresponsive.
    When asked why he had failed to mention the headboard
    incident until his interview with the detectives, Johnson replied that
    he “honestly just forgot about it.” And when asked about the calls
    from Detective Moore he never returned, he explained that he
    “didn’t pay attention” to his phone during that time because he was
    “grieving,” and said he had already given a statement to the
    detective at the hospital. As to why he had not initially appeared at
    the DFCS proceeding on April 10, he said his family had told him he
    did not need to be there.
    17
    Johnson admitted that he had been convicted of domestic
    violence in Tennessee in connection with a fight with his ex-wife’s
    cousin, which left the cousin bloodied and momentarily unconscious.
    He admitted on cross-examination that he told police at the time
    that he had “snapped.” Johnson also admitted that, on one occasion,
    an argument with Cole had become “physical” and he had given her
    a black eye. In addition, he admitted that he had been previously
    convicted of obstruction and giving a false name and that in this case
    he had violated the condition of his bond that required him not to
    contact any witnesses.
    The defense also presented Johnson’s aunt, Sallie White, who
    testified that she did not notice anything amiss with Jordan on the
    evening of April 3 and did not hear any commotion or unusual noises
    during that night. Johnson’s father also testified, noting that on the
    afternoon of April 3 he noticed that Jordan was “not responding” to
    him but figured she was just sleepy. Various character witnesses,
    including family, friends, and Johnson’s ex-wife, also testified,
    describing Johnson as loving, kind, and a good father.
    18
    2. Johnson contends that the evidence was insufficient, both
    as a matter of constitutional due process and as a matter of Georgia
    statutory law, to support his convictions.
    (a)   When assessing a challenge to the sufficiency of the
    evidence as a matter of constitutional due process, the evidence
    presented at trial is viewed in the light most favorable to the verdicts
    to determine whether any rational trier of fact could have found the
    defendant guilty beyond a reasonable doubt of all the crimes of
    which he was convicted. See Jones v. State, 
    304 Ga. 594
    , 598 (2) (
    820 SE2d 696
    ) (2018) (citing Jackson v. Virginia, 
    443 U.S. 307
    , 319 (III)
    (B) (99 SCt 2781, 61 LE2d 560) (1979)). In making this
    determination, we do not evaluate witness credibility, resolve
    inconsistencies in the evidence, or assess the weight of the evidence;
    these tasks are left to the sole discretion of the jury. See Walker v.
    State, 
    296 Ga. 161
    , 163 (1) (
    766 SE2d 28
    ) (2014). The jury’s verdicts
    will be upheld as long as some competent evidence, even if
    contradicted, supports each fact necessary to make out the State’s
    case. See Jones, 
    304 Ga. at 598
     (2).
    19
    Here, the evidence viewed most favorably to the verdicts
    showed that Jordan suffered non-accidental blunt force injuries
    during a time when Johnson was the only person present and
    capable of inflicting such injuries. The jury was authorized to not
    believe Johnson’s story, and to credit the medical experts’ testimony
    that Jordan’s injuries would have been apparent within a short time
    after their infliction, and that the theory that Jordan had
    experienced a “lucid interval” during the afternoon of April 3 was
    unsound. And the jury was authorized to find that Jordan had
    experienced cruel and excessive pain from the injuries she
    sustained. See Moore v. State, 
    283 Ga. 151
    , 153 (1) (
    656 SE2d 796
    )
    (2008) (noting that “evidence of a child’s age, the extent of injuries,
    the nature of the assault to which the child was subjected, and the
    force with which the child was struck is sufficient evidence from
    which the jury can conclude whether the defendant caused the child
    cruel or excessive physical pain”). Therefore, the evidence was
    sufficient as a matter of constitutional due process to support
    Johnson’s convictions for felony murder and cruelty to children in
    20
    the first degree. See 
    id.
     (affirming convictions for felony murder and
    first-degree cruelty to children).
    (b) A conviction on circumstantial evidence is authorized if the
    proved facts “exclude every other reasonable hypothesis save that of
    the guilt of the accused.” OCGA § 24-14-6. “Not every hypothesis is
    a ‘reasonable’ one, and the evidence need not exclude every
    conceivable inference or hypothesis, only the reasonable ones.”
    Willis v. State, 
    315 Ga. 19
    , 23-24 (2) (
    880 SE2d 158
    ) (2022) (citation
    and punctuation omitted). Whether an alternative hypothesis is
    reasonable and whether the evidence excludes any such hypotheses
    are questions for the jury, whose findings on those questions must
    stand unless they are “insupportable as a matter of law.” Id. at 24
    (2).
    Here, the evidence authorized the jury to reject as
    unreasonable the alternative hypothesis that someone other than
    Johnson—i.e., Cole or Cole’s mother, sister, or brother—caused
    Jordan’s fatal injuries at some point before Johnson assumed her
    care. There was no evidence that Jordan was exhibiting any signs of
    21
    trauma or distress until Johnson called 911, and three medical
    experts opined that Jordan’s symptoms would have begun to
    manifest immediately or shortly after the trauma—and that a lucid
    interval was improbable given the nature of her injuries. Johnson
    contends that the evidence shows Jordan’s injuries could just as
    likely have been the result of an accident as opposed to an
    intentional act, but the jury was well within its authority to reject
    that theory as unreasonable. We thus have no basis for disturbing
    the jury’s findings. See Willis, 
    315 Ga. 25
     (2).
    3. Johnson next contends that the verdict and judgment are
    “decidedly and strongly against the weight of the evidence.”
    “Even when the evidence is legally sufficient to sustain a
    conviction, a trial judge may grant a new trial if the verdict of the
    jury is ‘contrary to . . . the principles of justice and equity,’ OCGA §
    5-5-20, or if the verdict is ‘decidedly and strongly against the weight
    of the evidence.’ OCGA § 5-5-21.” Drennon v. State, 
    314 Ga. 854
    , 860
    (2) (
    880 SE2d 139
    ) (2022) (citation and punctuation omitted). When
    these so-called “general grounds” are properly raised in a timely
    22
    motion for new trial, the trial judge must “exercise a broad discretion
    to sit as a ‘thirteenth juror.’” 
    Id.
     (citation and punctuation omitted).
    This role requires the judge to consider matters typically reserved
    to the jury, including conflicts in the evidence, witness credibility,
    and the weight of the evidence. See 
    id.
    As is plain from the order denying Johnson’s motion for new
    trial, the trial court performed its role as the thirteenth juror. In its
    order, the court noted that, after considering “[the] conflicts in the
    evidence, the credibility of witnesses, and the weight of the
    evidence,” “[t]he Court, in an exercise of discretion finds that the
    verdict was neither ‘contrary to evidence and the principles of justice
    and equity’ . . . nor ‘decidedly and strongly against the weight of the
    evidence[.]’” The trial court’s decision in this regard is not subject to
    our review—this Court “does not sit as an arbiter of the general
    grounds, which are solely within the discretion of the trial court.”
    Ridley v. State, 
    315 Ga. 452
    , 456 (3) (
    883 SE2d 357
    ) (2023) (citation
    23
    and punctuation omitted).4 So this claim fails.
    4. Johnson contends that the trial court erred by admitting into
    evidence certain photographs from before and during Jordan’s
    autopsy. Before trial, Johnson moved to exclude the photographs,
    arguing that they were not relevant and were gruesome and unduly
    prejudicial under OCGA § 24-4-403. The trial court disagreed and
    admitted the photographs, over Johnson’s objection, when they were
    tendered at trial.
    (a) Evidence is relevant if it has “any tendency to make the
    existence of any fact that is of consequence to the determination of
    the action more probable or less probable than it would be without
    the evidence.” OCGA § 24-4-401. Relevant evidence is generally
    admissible, see OCGA § 24-4-402, but such evidence “may be
    excluded if its probative value is substantially outweighed by the
    4Because we have already rejected Johnson’s claim that the evidence
    was insufficient as a matter of constitutional due process under Jackson v.
    Virginia, we need not consider whether it would be proper to analyze Johnson’s
    general-grounds claim by reference to the Jackson constitutional sufficiency
    standard. See King v. State, No. S23A0214, slip op. at * __ (2) n.8 (decided June
    21, 2023) (noting this Court’s past practice of analyzing general-grounds claims
    by performing or referencing a sufficiency-of-the-evidence review under
    Jackson but declining to determine the propriety of that practice).
    24
    danger of unfair prejudice, confusion of the issues, or misleading the
    jury or by considerations of undue delay, waste of time, or needless
    presentation of cumulative evidence.” OCGA § 24-4-403. That said,
    “the exclusion of relevant evidence under Rule 403 is an
    extraordinary remedy that should be used only sparingly.” Albury v.
    State, 
    314 Ga. 459
    , 461 (3) (
    877 SE2d 548
    ) (2022) (citation and
    punctuation omitted). Decisions whether to admit evidence under
    these rules are “committed to the sound discretion of the trial court.”
    
    Id.
     (citation and punctuation omitted).
    (b) Five of the six contested photographs were taken during the
    autopsy. Two of those photographs depicted, from different angles,
    Jordan’s head with the scalp peeled back to show the hemorrhaging
    beneath the scalp. Three others showed the various fractures on
    Jordan’s skull. At the pretrial hearing, the State told the trial court
    that Dr. Gowitt had specifically selected those photographs for use
    during his testimony. During trial, Dr. Gowitt referred to these
    photographs while describing the hemorrhaging and bruising
    underneath Jordan’s scalp and the multiple fractures, some
    25
    affecting more than one bone within the skull—all of which, Dr.
    Gowitt testified, indicated multiple impacts sustained from a non-
    accidental cause, the effects of which would have been apparent
    immediately or within a very short period of time.
    The trial court did not abuse its discretion in admitting these
    five photographs. Autopsy photographs may be relevant to show the
    nature or extent of a victim’s injuries. See Albury, 314 Ga. at 462 (3);
    Lanier v. State, 
    310 Ga. 520
    , 527-528 (4) (
    852 SE2d 509
    ) (2020).
    These photographs, which assisted the medical examiner in
    describing the nature and severity of Jordan’s injuries, were highly
    relevant to the issues of both how and when the injuries were
    sustained. Because both the timing of the injuries and the manner
    of their infliction were contested issues in the case, the photographs’
    probative value was high. See Albury, 314 Ga. at 462 (3) (autopsy
    photograph had “significant probative value” in supporting State’s
    theory of how injuries were inflicted); Lanier, 310 Ga. at 527-528 (4)
    (autopsy photographs admissible where they “corroborated the
    State’s evidence of the circumstances of the killings”). And although
    26
    the photographs may have been graphic, we cannot say the trial
    court abused its discretion in concluding that their probative value
    was not substantially outweighed by the danger of unfair prejudice.
    See Albury, 314 Ga. at 462 (3) (although photograph of victim’s head
    with scalp and face peeled back may have been “gruesome,” trial
    court did not abuse its discretion in admitting it because of its
    probative value).
    (c) The remaining photograph was taken before the autopsy.
    This photo showed Jordan as she arrived from the hospital, with
    various tubes, wires, and a neck collar still attached to her body. The
    defense argued that the photo was inflammatory because of all the
    “apparatuses”    on Jordan;     the State    argued that     was    its
    “identification” photo, as it had the medical examiner’s case number
    on it, and it was being used to establish that the subject of the
    autopsy was in fact the victim. After looking through various full
    body pictures of the victim, the court ruled that the photograph at
    issue could be used “as an ID shot.”
    The relevance of the pre-autopsy photograph is questionable
    27
    given that the victim’s identity was not contested and the fact that,
    unlike the other autopsy photos, it was of little relevance to the
    victim’s injuries, which were largely internal. Cf. Perez v. State, 
    309 Ga. 687
    , 695 (3) (
    848 SE2d 395
    ) (2020) (pre-autopsy photos were
    properly admitted because they showed the nature and location of
    victim’s wounds and thus were probative of “how the killing
    occurred”). But we need not decide whether admitting the
    photograph was error, because even assuming it was, the error was
    harmless.
    “Erroneous evidentiary rulings are subject to a harmless-error
    test.” Jones v. State, 
    315 Ga. 117
    , 122 (4) (
    880 SE2d 509
    ) (2022). A
    nonconstitutional error is harmless if it is “highly probable that the
    error did not contribute to the verdict.” 
    Id.
     (citation and punctuation
    omitted). The burden to make this showing is the State’s to bear,
    and in determining whether the showing has been made, we review
    the record de novo and weigh the evidence as we would expect
    reasonable jurors to have weighed it. 
    Id.
     (citation and punctuation
    omitted). Here, the single pre-autopsy photograph was not nearly as
    28
    graphic as the five properly admitted autopsy photographs, and the
    evidence that Jordan’s injuries were inflicted on purpose, during a
    period in which Jordan was under the supervision of Johnson alone,
    was strong. Under these circumstances, it is highly probable that
    any error in admitting this single pre-autopsy photograph did not
    contribute to the verdicts. See Jenkins v. State, 
    270 Ga. 607
    , 609 (3)
    (
    512 SE2d 269
    ) (1999) (even assuming admission of pre-autopsy
    photos was error, error was harmless in light of overwhelming
    evidence of defendant’s guilt).
    5. Johnson next contends that the trial court “erred and
    violated the Sixth Amendment right of confrontation” by limiting
    the defense’s cross-examination of Cole on certain topics.
    Both the United States and Georgia Constitutions guarantee
    to an accused the right to confront and cross-examine the witnesses
    against him. See U.S. Const. amend VI; Ga. Const. of 1983, Art. I,
    Sec. I, Par. XIV. See also Davis v. Alaska, 
    415 U.S. 308
    , 315 (2) (94
    SCt 1105, 39 LE2d 347) (1974); Miller v. State, 
    266 Ga. 850
    , 856 (7)
    (
    472 SE2d 74
    ) (1996). To that end, our Evidence Code affords
    29
    criminal defendants “the right of a thorough and sifting cross-
    examination . . . as to the witnesses called against [them].” OCGA §
    24-6-611 (b). But “the right of cross-examination is not an absolute
    right that mandates unlimited questioning by the defense.” Howard
    v. State, 
    286 Ga. 222
    , 225 (2) (
    686 SE2d 764
    ) (2009) (citation and
    punctuation omitted). Trial courts have “wide latitude to impose
    reasonable limits on cross-examination based on concerns about,
    among other things, interrogation that is only marginally relevant.”
    Lucas v. State, 
    303 Ga. 134
    , 137 (2) (
    810 SE2d 491
    ) (2018) (citation
    and punctuation omitted). See also OCGA § 24-6-611 (b) (providing
    that scope of cross-examination extends to “any matter relevant to
    any issue in the proceeding”). Trial courts also have discretion to
    limit witness interrogation to “[p]rotect witnesses from harassment
    or undue embarrassment.” OCGA § 24-6-611 (a) (3). We review a
    trial court’s limitation on the scope of cross-examination for abuse of
    discretion. See Lucas, 303 Ga. at 136-137 (2).
    Here, Johnson contends that the trial court unduly limited his
    right to confront Cole on three topics: (1) her purported dishonesty
    30
    about the paternity of the twins’ half-brother; (2) the fact that she
    had lost custody of that child as well as Jordan’s twin; and (3) Cole’s
    postpartum depression. Johnson contends broadly that, because
    Cole was a “likely suspect” in Jordan’s death, he had the right to
    “impeach” her on all of these subjects.
    Johnson’s counsel cross-examined Cole at length on a variety
    of topics, including her relationship with Johnson, her chronology of
    the events of April 3 and 4, whether her brother and sister were
    present at her mother’s home on April 3, and her statements to
    Woodard and to law enforcement on April 4. Johnson’s counsel also
    cross-examined Cole on her drug and alcohol abuse, her pending
    felony charges, her depression, and the fact that she had lost custody
    of Jordan’s twin and their older half-brother. So Johnson was
    afforded a “thorough and sifting” cross-examination of Cole as a
    general matter. And as to the specific topics of Cole’s depression and
    her loss of custody, the trial court allowed Johnson to question Cole
    about both. The only limitation the court imposed on these topics
    was on questioning, related to the hospital visit during which
    31
    Johnson reported his concerns about Cole’s depression, which could
    have created a false impression about the cause of the hospital visit.5
    This limitation was well within the trial court’s discretion. See
    Lucas, 303 Ga. at 138-139 (2).
    The trial court also prohibited Johnson’s counsel from
    questioning Cole about her purported dishonesty about the
    paternity of the twins’ half-brother. But although Johnson correctly
    notes that “[t]he credibility of a witness may be attacked by any
    party,” OCGA § 24-6-607, a defendant does not have carte blanche
    to question a witness on issues of marginal relevance that are
    intended primarily to impugn the witness’s character or motives.
    See Lucas, 303 Ga. at 138-139 (2) (trial court did not abuse
    discretion by prohibiting cross-examination of prosecution witness
    on his immigration status); Nicely v. State, 
    291 Ga. 788
    , 795-796 (4)
    (
    733 SE2d 715
    ) (2012) (trial court did not abuse discretion by
    5 The trial court sought to prevent questioning that might have falsely
    implied that the trip to the hospital resulted from Jordan’s twin brother’s fall
    from a chair while unattended, when the actual reason for the trip was his
    severe constipation.
    32
    prohibiting cross-examination of prosecution’s medical expert about
    a   purported   “understanding     among     some   Georgia    medical
    examiners that one will not testify ‘against’ the findings of another”).
    The trial court did not abuse its discretion in prohibiting Johnson
    from probing into Cole’s purported dishonesty about the paternity of
    her twins’ half-brother. See Lucas, 303 Ga. at 138-139 (2).
    Johnson’s claim that he was improperly limited in his ability
    to cross-examine Cole therefore fails.
    6. Johnson contends that the trial court erred in allowing the
    medical examiner to testify about confessions in child-abuse cases,
    because that subject was outside the field in which he was qualified
    as an expert. Dr. Gowitt testified on direct examination that he had
    been involved with at least 200 cases involving fatally abused
    children, and that he had done consulting work for defendants in 40
    to 50 such cases. He testified that in “about half” of the cases, the
    defendant had confessed to the abuse; that “perpetrator confessions
    are something that we read frequently” when doing defense work;
    and that he was familiar with “many articles” in the “pediatric
    33
    forensic literature” on confessions by perpetrators of fatal child
    abuse. Dr. Gowitt testified that, based on his experience and
    knowledge of the literature, the “majority” of those who confessed
    “admit that they lost their temper.” At this point, defense counsel
    objected based on relevance, but the court overruled the objection.
    Johnson now claims that the court erred in admitting this
    testimony because it was outside the scope of forensic pathology.6
    But because Johnson did not object on this basis at trial, we review
    this claim only for plain error. See Mann v. State, 
    307 Ga. 696
    , 704
    (2) (e) (
    838 SE2d 305
    ) (2020). “To show plain error, an appellant
    must show that (1) the alleged error was not affirmatively waived,
    (2) it was obvious beyond reasonable dispute, and (3) it affected the
    appellant’s substantial rights, which ordinarily means showing that
    it affected the outcome of the trial.” Moore v. State, 
    315 Ga. 263
    , 272-
    273 (4) (
    882 SE2d 227
    ) (2022).
    6  Johnson also asserts that he had no pretrial notice that Dr. Gowitt’s
    testimony would exceed the scope of his expert qualifications. But because we
    conclude below that the testimony was within the scope of Dr. Gowitt’s
    qualifications, no such notice was required.
    34
    Given Dr. Gowitt’s direct experience with confessions in child-
    abuse cases and his knowledge of the medical literature on the topic,
    we see no obvious error in the trial court’s allowing him to testify on
    this subject. See Wellborn v. State, 
    258 Ga. 570
    , 572 (2) (
    372 SE2d 220
    ) (1988) (no error in allowing expert to testify on a subject that
    “was within the scope of his field according to his testimony”). And
    whether or not allowing this testimony was obvious error, Johnson
    has not shown how allowing the testimony, which fills scarcely two
    of the almost 100 transcript pages of Dr. Gowitt’s testimony, affected
    Johnson’s substantial rights. This claim is without merit.
    7. Johnson contends that the trial court erred in excluding
    testimony from a private investigator about his unsuccessful efforts
    on behalf of the defense to locate and serve a subpoena on the
    medical fellow who had assisted in the hospital’s investigation into
    possible child abuse.
    Before trial, the defense apparently had tried to locate the
    medical fellow who had helped conduct interviews with Jordan’s
    family members and had written a report with conclusions, which
    35
    Dr. Messner reviewed and approved. According to the defense, the
    medical fellow was no longer employed with the hospital, and they
    could not find her. Noting that both Dr. Messner and Woodard had
    referred to “the information [the fellow] would have in this case,” the
    defense argued that it needed to “demonstrate to the jury that we
    did make attempts to track her down because we wanted to know
    what she had to say.” The State objected, noting among other things
    that the defense had failed to ask for a material-witness subpoena
    for this witness, see OCGA § 17-7-191 (setting out a process by which
    a criminal defendant may apply to “obtain subpoenas for such
    witnesses as he deems material for his defense”), and that there was
    no evidence she had been intentionally evading a subpoena. The
    trial court excluded the testimony but noted that the defense would
    be allowed to comment on the State’s failure to present the medical
    fellow as a witness.
    Johnson now claims that the exclusion of this evidence violated
    his due process rights, but in support of this argument he cites only
    36
    two provisions of the Evidence Code that plainly do not apply. 7
    Particularly given the defense’s failure to avail itself of the statutory
    process for securing the attendance of material witnesses, see id., we
    see no abuse of discretion in the trial court’s refusal to allow
    testimony on this ancillary topic.
    8. Lastly, Johnson contends that the trial court committed
    plain error by failing to give a jury instruction on accident. See
    OCGA § 16-2-2 (“A person shall not be found guilty of any crime
    committed by misfortune or accident where it satisfactorily appears
    there was no criminal scheme or undertaking, intention, or criminal
    negligence.”).
    In his written requests to charge, Johnson asked for an
    instruction on the affirmative defense of accident. At the charge
    conference, defense counsel argued that “our defense is that we don’t
    know what happened. There’s not enough evidence to rule out.
    7 Johnson cites OCGA §§ 24-8-804 (a) (5) (providing that a hearsay
    declarant is “unavailable as a witness” if he is absent from the hearing and the
    proponent of his statement “has been unable to procure [his] attendance”) and
    § 24-9-923 (regarding authentication of recordings and like evidence), neither
    of which would have offered a basis for the private investigator’s testimony.
    37
    There’s certainly not enough to prove—to prove an intentional act.
    And we think that there’s not enough evidence to rule out accident.”
    But the trial court noted that binding precedent required the
    defendant to admit to committing the act that caused the victim’s
    death and thus ruled the instruction would not be given. Johnson’s
    counsel relented and said, “OK. No objection.” Johnson now
    contends that the failure to instruct the jury on accident was plain
    error. See OCGA § 17-8-58 (b) (where a party fails to object to the
    omission of a jury charge, such omission may be reviewed only for
    plain error).
    The court’s refusal to give an accident instruction was
    consistent with the law in effect at the time of trial, which held that
    the accident defense “generally requires an admission by the
    defendant that [he] committed the act that caused the victim’s
    death.” Kellam v. State, 
    298 Ga. 520
    , 522 (2) (
    783 SE2d 117
    ) (2016)
    (citation and punctuation omitted). But when we review jury
    instructions for plain error, we look to the law in effect at the time
    of our review. See Lyman v. State, 
    301 Ga. 312
    , 317 (2) (
    800 SE2d 38
    333) (2017) (in the review of asserted plain error under OCGA § 17-
    8-58 (b), “whether an error is “clear or obvious” is judged at the time
    of the appellate court’s review). And current law is clear that “[a]
    criminal defendant is not required to ‘admit’ anything, in the sense
    of acknowledging that any particular facts are true, in order to raise
    an affirmative defense.” McClure v. State, 
    306 Ga. 856
    , 857 (
    834 SE2d 96
    ) (2019). So the reason the trial court gave for refusing to
    instruct on accident is not correct under current law. And because
    Johnson’s testimony about the headboard incident offered some
    evidence—albeit slight—from which the jury might have found that
    Jordan’s injuries resulted from an accident, we must conclude that
    the failure to give an accident instruction was an error that is
    “obvious beyond reasonable dispute.” Moore, 315 Ga. at 272 (4). See
    Sullivan v. State, 
    308 Ga. 772
    , 778-779 (2) (
    843 SE2d 411
    ) (2020) (to
    warrant the giving of a requested jury charge, the evidence
    supporting the theory of the charge need only be “slight”).
    Nonetheless, this error was unlikely to have “affected the
    outcome of the trial.” Moore, 315 Ga. at 273 (4). Johnson’s primary
    39
    theory at trial was not that Jordan’s injuries resulted from an
    accident, but that someone else—most likely Cole but possibly
    anyone else who had contact with Jordan in the 24 hours before the
    911 call—inflicted the injuries that caused her death. And although
    Johnson offered up the headboard incident as a possible explanation
    for Jordan’s injuries, testimony from all of the medical experts—
    including Johnson’s—established that Jordan’s injuries were the
    result of “considerable force” that was plainly inconsistent with
    Johnson’s description of the headboard incident. For this reason,
    Johnson has failed to establish plain error. See Sullivan, 308 Ga. at
    778-780 (2) (failure to give accident instruction was harmless where
    evidence of accident was contradicted by other evidence, including
    expert testimony, that strongly supported a finding of intentional
    conduct); Thomas v. State, 
    297 Ga. 750
    , 753 (2) (
    778 SE2d 168
    )
    (2015) (no plain error in trial court’s refusal to give an instruction
    on accident). See also McClure, 306 Ga. at 866-867 (Nahmias, P.J.,
    concurring) (noting that failing to give an instruction on an
    alternative defense supported by “only the slightest evidence” will
    40
    likely be harmless and “almost certainly will not amount to plain
    error”). 8
    Judgment affirmed. All the Justices concur.
    8  In our analysis, we have assumed that the trial court erred by
    admitting the pre-autopsy photograph and held that the trial court committed
    a clear and obvious error by declining to instruct the jury on accident. Johnson
    has not claimed cumulative error and therefore has not made any specific
    argument as to why these two errors in combination prejudiced his defense.
    See State v. Lane, 
    308 Ga. 10
    , 18 (1) (
    838 SE2d 808
    ) (2020) (“[A] defendant who
    wishes to take advantage of the [cumulative error rule] should explain to the
    reviewing court just how he was prejudiced by the cumulative effect of multiple
    errors.”). In any event, “we discern no apparent cumulative prejudice on this
    record.” Prickett v. State, 
    314 Ga. 435
    , 445 (3) n.8 (
    877 SE2d 573
    ) (2022).
    41