The International Criminal Court (ICC) ruled on Thursday that Rodrigo Duterte is mentally competent to face charges of murder and attempted murder related to the deadly anti-drug crackdown he oversaw as president of the Philippines from 2016 to 2022.
Independent medical experts examined the 81-year-old former leader and concluded that he can understand evidence and discuss his defence with lawyers. "The chamber was satisfied that the accused is able to effectively exercise his fair trial rights in the proceedings," the court said.
Duterte was arrested in the Philippines in March 2025 and transferred to the ICC's detention centre in The Hague. He appeared in person before the court for the first time last month. His legal team had sought to have the case dismissed on health grounds, citing serious memory loss.
Prosecutors accuse Duterte of ordering police and government hit squads to carry out dozens of killings, with perpetrators motivated by money or fear of becoming targets themselves. Duterte denies the charges, maintaining that he only instructed police to act in self-defence.
Estimates of the death toll from the drug war vary widely, from more than 6,000 reported by the national police to up to 30,000 claimed by human rights groups. If convicted, Duterte faces a maximum sentence of life imprisonment.
Duterte is the first former Asian leader to be arrested by the ICC, which prosecutes individuals for war crimes and crimes against humanity.