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It's very unusual for a contract killing in the US to involve multiple stabs to the face, especially features such as the lips.
There might be a cultural componant here that I'm not aware of, or the assailant is mentally ill, but most likely there's a strong personal motive. Adam appears to have liked the company of ladies; this may be a jealous husband or boyfriend. If that's the case, the woman involved has got to be terrified of him if she is still alive herself. She very well might not be.
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