Alex Jeffrey Pretti, a 37-year-old intensive care unit nurse at a Veterans Affairs hospital in Minneapolis, was shot and killed by a U.S. border patrol officer during an immigration enforcement operation on January 23, 2026. A U.S. citizen with no criminal history, Pretti had legally owned a handgun and concealed carry permit; bystander videos show him holding a phone with no visible firearm. DHS stated Pretti approached officers with a 9mm semiautomatic handgun, though officials did not specify if it was brandished. His family said he was distressed by immigration enforcement actions and had participated in protests.