Using thematic analysis, this study explores the motivation to commit sexual homicide from the perspective of the perpetrator. In the process, it revisits motivational models and offender typologies that have been put forward to explain such offenses. From the homicide narratives of eight sexual homicide offenders detained in a high security hospital in the United Kingdom, four themes were found which appeared significant in terms of understanding the offenses committed. These themes were labeled as follows: (a) avenging sexual abuse, (b) events leading to a catathymic reaction, (c) homicidal impulse, and (d) emotional loneliness. Although these findings are not inconsistent with previous research, we argue that the current literature fails to capture the complexity associated with these offenses. We also argue that the context or situation in which sexual homicide occurs is a crucial feature of the offense, and one which has not been adequately taken into account by motivational models.