Naythan Aubain is charged with two counts of first degree murder for allegedly killing two women, including his grandmother.
Remains were found where they lived, and in other areas.
The 29-year-old Aubain spent some time in the hospital earlier this week in a medically induced coma after a vehicle crash. When he was released, he was arraigned.
"During the arraignment, he was trying to spit a few times, so that's why we kept a spit mask on him. He was handcuffed and shackled when he arrived but was somewhat non-compliant at times," said Oneida County Sheriff Robert Maciol.
Aubain had to be placed in a restraint chair for safety reasons.
"He just went to the bathroom wherever, and then in the morning, when it was time for court, he was in no condition to go to court because obviously of his failure to use the bathroom," Maciol said.
However as of Thursday afternoon, Maciol said Aubain's behavior improved.
"Since then he has been cleaned up, and actually he's pretty good," Maciol said. "Hoping that we can get him to court at his next court appearance."
Aubain's next court date is February 11. That's because Aubain needs to first take a mental exam with two psychologists. It's to make sure a person understands the basics of the judicial system.
"Two separate psychiatrists interview him and they prepare reports, and they're forwarded to the court basically," Maciol explained.
The evaluation should help determine whether or not Aubain is competent. It's expected to take about two to three weeks to get the results of the mental evaluations.