carbuff
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I can definitely see why someone would get these cases confused, as there are some pretty interesting similarities (like I said before) even if the cases are probably unrelated.
About the sexual aspect of these crimes - like I previously mentioned, the 1976 Shepherdsville John Doe and the 1990 Owensboro/Daviess County John Doe had both been sexually assaulted. I don't know (to be completely honest, I don't necessarily even want to know) the exact nature of what they endured, but semen was apparently found on or in the 1990 Owensboro victim. LE apparently had plans to test the DNA against a known serial killer (James Cable), but this was fifteen years ago, and I don't even know if those plans ever materialized. Not much is known about the Shepherdsville victim, unfortunately.
Those two cases are odd enough on their own, but I think the killers in these cases are different people and that they had their own MOs, given that the most compelling similarity between the two is that some sort of sex crime was committed alongside each murder. Rape is something that (unfortunately) happens everywhere, but rural Kentucky seems like a particularly strange place for multiple sexually-motivated murders of young-to-middle-age men to take place.
Rape happens everywhere, but there don't seem to be all that many cases where youngish men are raped and murdered. And most of them are serial killers, like Corll in Texas etc.