My first thought was that Paul Pelosi’s injuries were self inflicted. He sobered up, realized that he was married to Nancy and attempted to beat himself to death with a hammer.
Then the real shit started to arrive. Here’s an article, Five Fast Facts to Know About David Depape. Link: https://heavy.com/news/david-depape/
And another article: David Depape Was In His Underwear When Police Arrived. The link: https://www.thegatewaypundit.com/2022/10/weird-pelosi-assailant-david-depape-underwear-police-arrived-yanked-hammer-paul-pelosi/
So here’s a speculative transcription of the dialogue between the two combatants.
David: “Do you like rough sex?”
David hits Paul with hammer.