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The biological female was earmarked immediately by other patients, with one alleged attacker shouting 'no Adam's apple, no Adam's apple,' prosecutors said.
The alleged victim went into a side room to avoid the men asking, 'Are you a girl?' but was followed by Luther Badejo and Davointe Thomas.
Six-foot and heavily built Thomas, 25, then blocked a doorway, pushed the alleged victim into a cupboard, forced their trousers down and raped them, jurors heard.
The five-foot-tall complainant then fled to their room before heading to the television area, where they were followed once again by Thomas and Badejo, prosecutors said.
Badejo, 29, 'kept a lookout' while Thomas pushed them onto a sofa and raped them again, Kate Bex KC, prosecuting, told Inner London Crown Court.
Badejo is jointly charged on this count for allegedly acting as Thomas's accomplice.
The attacks allegedly took place on the Eden Ward secure psychiatric unit of Lambeth Hospital in south London on April 12, 2022.
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