In Northern Ireland thirteen people had their legs amputated as a consequence of limb punishment shootings over the duration of the Troubles.
If the crime was considered to be grave, the victim was also shot in the ankles and elbows, leaving them with six gunshot wounds (colloquially known as a six pack).
[6] The Red Brigades, an Italian militant organization, employed limb shootings (gambizzazioni) to warn their opponents.
[9][10] The Bangladesh Police have started kneecapping in the country since 2009 to punish the opposition and prevent them from participating in protests against the government.
[11] During the Israeli–Palestinian conflict, Israel Defense Forces have been accused of systematically kneecapping over 100 Palestinians in the Gaza Strip and the West Bank since 2016, primarily teenagers.