Judge Rosemarie Aquilina fought back tears as she made the announcement.
"My page only goes to 100 years. Sir, I'm giving you 175 years, which is 2100 months. I just signed your death warrant," Aquilina said.
"You did this for your own pleasure and your own control," she scolded. "I wouldn't send my dogs to you, sir. There's no treatment here."
The sentence will start after he serves 60 years on child pornography possession charges.
Before the judge spoke, the disgraced doctor had one last chance to explain himself before the court.
"No words can describe depth and breadth of how sorry I am," he said in his brief remarks. "An acceptable apology to all of you is impossible to write and convey. I will carry your words with me for the rest of my days."
Nassar, 54, pleaded guilty to assaulting seven people in the Lansing, Mich. area, but the sentencing hearing has been open to anyone who said they were a victim.
His accusers said he would use his ungloved hands to penetrate them, often without explanation, while they were on a table seeking help for various injuries.
"I'm a victim of Larry Nassar," Olympian Jordan Wieber said during her testimony. "I thought that training for the Olympics would be the hardest thing I would ever had to do, but in fact, the hardest thing I ever had to do was process that I was a victim of Larry Nassar."
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Over 100 women accused the former USA Gymnastics doctor of sexually abusing them during his special "treatments."
"It has caused me to feel shame and confusion," Wieber continued. "I have spent months trying to think back on my experience and wonder how I didn't know what was happening to me and how I became so brainwashed by Larry Nassar and everyone at USA Gymnastics. Both whom I thought were supposed to be on my side."
The pervert has already been sentenced to 60 years in jail after pleading guilty in December to possession of child pornography.
In July, Nassar pled guilty to three federal charges of obtaining and possessing child porn as well as of destroying computer files to rid himself of blame during an investigation.
"Silence is indifference," Aquilina summarized. "Justice requires action and a voice. And that is what happened here."
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