Freak-offs have become a central part of the government’s case, which charges Mr. Combs with sex trafficking, racketeering conspiracy and transportation to engage in prostitution. Mr. Combs has pleaded not guilty, and his lawyers have strongly denied that any of his sexual encounters with women were not consensual.

His lawyer, Marc Agnifilo, said Combs was simply part of the swinger lifestyle and that he "vehemently denies the accusations made by the SDNY" and "looks forward to his day in court." Federal prosecutors showed the jury a series of seven still images taken from video recordings of "freak off" sex encounters in which Cassie Ventura has testified Sean Combs forced her to participate.

During Sean "Diddy" Combs' sex trafficking trial, Cassie Ventura testified about the medical issues she allegedly suffered due to her ex’s "freak off" sex parties, including UTIs and mouth sores.