RENDLEN, Judge.
Donald Steward (appellant) was indicted in separate counts for the first degree mur[822]*822ders of two sisters, Ruthie Brown (Ruthie) and Faustina Brown (Faustina) pursuant to § 565.020.1.1 It was alleged (Count I) appellant while “acting with others, after deliberation, knowingly killed” Ruthie Brown “by striking her” on October 7, 1984 and (Count II) that appellant while “acting with others, after deliberation, knowingly caused” the death of Faustina Brown “by striking her” on October 7,1984. Additionally (Count III) he was charged with first degree burglary (§ 569.160)2 and (Count IV) with first degree robbery (§ 569.020).3
Following a directed verdict for appellant on Count IV, appellant was convicted on the three remaining counts and it is from these convictions the appeal is taken. After reversal in the Eastern District, the cause was transferred and it is decided here as though on original appeal. Mo. Const, art. V, § 10 (1945 amended 1970 and 1976).
At trial, the state presented evidence that appellant would have been aware the two sisters kept substantial sums of money scattered around their apartment. The state sought to prove that appellant and his alleged accomplices had entered and assaulted the two sisters in their apartment in order to steal the money which they kept there.
Challenging the sufficiency of the evidence as to the murder charges, appellant contends: (1) no evidence was introduced that he or the alleged accomplices struck Ruthie; (2) that any evidence of causal relationship between his conduct or the actions of the alleged co-participants and the death of Faustina was “too attenuated” to demonstrate appellant was aware such activities were “practically certain” to cause her death; and (3) no evidence demonstrated deliberation as to either murder count.
When examining for the sufficiency of the evidence, our role is to “accept as true all evidence whether circumstantial or direct, tending to prove [appellant] guilty together with all reasonable inferences supportive of the verdict.” State v. Brooks, 618 S.W.2d 22, 23 (Mo. banc 1981). Additionally, we must “disregard those portions of the record contrary to the verdict, mindful that our function is not to weigh the evidence but to determine ‘whether there was sufficient evidence from which reasonable persons could have found [appellant] guilty as charged.’ ” Brooks, 618 S.W.2d at 23, quoting State v. Kelly, 539 S.W.2d 106, 109 (Mo. banc 1976), quoting from State v. Johnson, 510 S.W.2d 485, 487 (Mo.App.1974).
We first determine whether the evidence presented was sufficient to support a finding that Ruthie was struck by either appellant or an accomplice. A forensic pathologist who performed the autopsy testified she found “an area of [Ruthie’s] fore[823]*823head where there was a little swelling, an area of contusion and a slight abrasion where a little bit of skin was scraped off_” Additionally, the autopsy revealed “several fractured ribs between the two right and left sides.” An investigating police officer testified Faustina told him that “Donald [appellant] was the one who struck her and her sister numerous times.” From these facts the jury could have reasonably concluded that one of the participants struck Ruthie.
Appellant next contends that any evidence of causal relationship between the death of Faustina and the actions of those implicated is “too attenuated” for purposes of showing he was aware that death was “practically certain” to result. The same pathologist, who performed the autopsy on Ruthie supervised the autopsy conducted on Faustina. She testified that on October 7,1984 Faustina sustained a head injury as the result of an assault at her apartment and died on January 11, 1985, from the combined causes of a pulmonary infarction, a urinary tract infection, and a “generalized infection in the bloodstream.” This witness opined that “the underlying cause that started all of this was the head injury...” and concluded that “the 'proximate cause [was] a head injury which put her in a position for all of these complications.” (Emphasis added.) Appellant makes essentially the same argument presented and rejected in State v. Bolder, 635 S.W.2d 673, 679 (Mo. banc 1982), cert. denied, 459 U.S. 1137, 103 S.Ct. 770, 74 L.Ed.2d 983 (1983) and for the reasons discussed in Bolder we are also unpersuaded here. In Bolder, the defendant, a prison inmate, stabbed another inmate who ultimately died not from the stab wounds but rather the resulting infection. Id. 635 S.W.2d at 678. We noted it “[made] no difference that [the victim] died from an infection resulting from the stabbing rather than from the stabbing itself.” Id. at 680. Similarly, it is of little consequence that Faustina may have died of complications resulting from the head injury she sustained rather than the head injury itself. The jury could have reasonably found that the cause of her death was not so attenuated that appellant was unaware that death would be “practically certain.”
The final challenge to the evidence relates to the finding of deliberation. We have held that “[a] deliberate act is a ‘free act of the will,’ [citations omitted] that is done ‘in furtherance of a formed design to gratify a feeling of revenge or to accomplish some other unlawful purpose and while not under the influence of a violent passion suddenly aroused by some provocation,’ [citation omitted].” State v. Davis, 653 S.W.2d 167, 172 (Mo. banc 1983). The evidence showed that appellant had run errands for the sisters, who frequently kept substantial sums of money in their apartment “wrapped in tissue or handkerchiefs....” Also, that Michael Sturghill (Sturghill), another of the individuals charged in this matter, was found with one hundred ninety-five dollars, some of which was bloodstained, in one of his tennis shoes. In addition, bloodstained gauze, used by appellant to cover a cut sustained the evening of the assaults, was also introduced at trial and the blood type of that found on the gauze matched that on the money Sturghill concealed in his shoe. From this evidence viewed in conjunction with the testimony that appellant struck the victims “numerous times,” the jury could have concluded appellant acted with deliberation.
Appellant next argues that comments of the trial judge to the jury, after deliberations had commenced, constituted an improper instructional substitute for MAI-CR2d 1.10 which coerced the jury to return a verdict. The state argues that the remarks did not constitute a coercive instruction, that appellant failed to preserve his challenge by not objecting at trial, and that the “general and nonspecific allegations of error” in his motion for new trial was insufficient to preserve the claim of error.
The cause was submitted to the jury at 12:30 p.m. on August 13, 1985. At 5:05 p.m. the trial judge had the jury brought to the courtroom at which time he inquired about any votes taken and the numerical standing on any such votes. At that time, [824]
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RENDLEN, Judge.
Donald Steward (appellant) was indicted in separate counts for the first degree mur[822]*822ders of two sisters, Ruthie Brown (Ruthie) and Faustina Brown (Faustina) pursuant to § 565.020.1.1 It was alleged (Count I) appellant while “acting with others, after deliberation, knowingly killed” Ruthie Brown “by striking her” on October 7, 1984 and (Count II) that appellant while “acting with others, after deliberation, knowingly caused” the death of Faustina Brown “by striking her” on October 7,1984. Additionally (Count III) he was charged with first degree burglary (§ 569.160)2 and (Count IV) with first degree robbery (§ 569.020).3
Following a directed verdict for appellant on Count IV, appellant was convicted on the three remaining counts and it is from these convictions the appeal is taken. After reversal in the Eastern District, the cause was transferred and it is decided here as though on original appeal. Mo. Const, art. V, § 10 (1945 amended 1970 and 1976).
At trial, the state presented evidence that appellant would have been aware the two sisters kept substantial sums of money scattered around their apartment. The state sought to prove that appellant and his alleged accomplices had entered and assaulted the two sisters in their apartment in order to steal the money which they kept there.
Challenging the sufficiency of the evidence as to the murder charges, appellant contends: (1) no evidence was introduced that he or the alleged accomplices struck Ruthie; (2) that any evidence of causal relationship between his conduct or the actions of the alleged co-participants and the death of Faustina was “too attenuated” to demonstrate appellant was aware such activities were “practically certain” to cause her death; and (3) no evidence demonstrated deliberation as to either murder count.
When examining for the sufficiency of the evidence, our role is to “accept as true all evidence whether circumstantial or direct, tending to prove [appellant] guilty together with all reasonable inferences supportive of the verdict.” State v. Brooks, 618 S.W.2d 22, 23 (Mo. banc 1981). Additionally, we must “disregard those portions of the record contrary to the verdict, mindful that our function is not to weigh the evidence but to determine ‘whether there was sufficient evidence from which reasonable persons could have found [appellant] guilty as charged.’ ” Brooks, 618 S.W.2d at 23, quoting State v. Kelly, 539 S.W.2d 106, 109 (Mo. banc 1976), quoting from State v. Johnson, 510 S.W.2d 485, 487 (Mo.App.1974).
We first determine whether the evidence presented was sufficient to support a finding that Ruthie was struck by either appellant or an accomplice. A forensic pathologist who performed the autopsy testified she found “an area of [Ruthie’s] fore[823]*823head where there was a little swelling, an area of contusion and a slight abrasion where a little bit of skin was scraped off_” Additionally, the autopsy revealed “several fractured ribs between the two right and left sides.” An investigating police officer testified Faustina told him that “Donald [appellant] was the one who struck her and her sister numerous times.” From these facts the jury could have reasonably concluded that one of the participants struck Ruthie.
Appellant next contends that any evidence of causal relationship between the death of Faustina and the actions of those implicated is “too attenuated” for purposes of showing he was aware that death was “practically certain” to result. The same pathologist, who performed the autopsy on Ruthie supervised the autopsy conducted on Faustina. She testified that on October 7,1984 Faustina sustained a head injury as the result of an assault at her apartment and died on January 11, 1985, from the combined causes of a pulmonary infarction, a urinary tract infection, and a “generalized infection in the bloodstream.” This witness opined that “the underlying cause that started all of this was the head injury...” and concluded that “the 'proximate cause [was] a head injury which put her in a position for all of these complications.” (Emphasis added.) Appellant makes essentially the same argument presented and rejected in State v. Bolder, 635 S.W.2d 673, 679 (Mo. banc 1982), cert. denied, 459 U.S. 1137, 103 S.Ct. 770, 74 L.Ed.2d 983 (1983) and for the reasons discussed in Bolder we are also unpersuaded here. In Bolder, the defendant, a prison inmate, stabbed another inmate who ultimately died not from the stab wounds but rather the resulting infection. Id. 635 S.W.2d at 678. We noted it “[made] no difference that [the victim] died from an infection resulting from the stabbing rather than from the stabbing itself.” Id. at 680. Similarly, it is of little consequence that Faustina may have died of complications resulting from the head injury she sustained rather than the head injury itself. The jury could have reasonably found that the cause of her death was not so attenuated that appellant was unaware that death would be “practically certain.”
The final challenge to the evidence relates to the finding of deliberation. We have held that “[a] deliberate act is a ‘free act of the will,’ [citations omitted] that is done ‘in furtherance of a formed design to gratify a feeling of revenge or to accomplish some other unlawful purpose and while not under the influence of a violent passion suddenly aroused by some provocation,’ [citation omitted].” State v. Davis, 653 S.W.2d 167, 172 (Mo. banc 1983). The evidence showed that appellant had run errands for the sisters, who frequently kept substantial sums of money in their apartment “wrapped in tissue or handkerchiefs....” Also, that Michael Sturghill (Sturghill), another of the individuals charged in this matter, was found with one hundred ninety-five dollars, some of which was bloodstained, in one of his tennis shoes. In addition, bloodstained gauze, used by appellant to cover a cut sustained the evening of the assaults, was also introduced at trial and the blood type of that found on the gauze matched that on the money Sturghill concealed in his shoe. From this evidence viewed in conjunction with the testimony that appellant struck the victims “numerous times,” the jury could have concluded appellant acted with deliberation.
Appellant next argues that comments of the trial judge to the jury, after deliberations had commenced, constituted an improper instructional substitute for MAI-CR2d 1.10 which coerced the jury to return a verdict. The state argues that the remarks did not constitute a coercive instruction, that appellant failed to preserve his challenge by not objecting at trial, and that the “general and nonspecific allegations of error” in his motion for new trial was insufficient to preserve the claim of error.
The cause was submitted to the jury at 12:30 p.m. on August 13, 1985. At 5:05 p.m. the trial judge had the jury brought to the courtroom at which time he inquired about any votes taken and the numerical standing on any such votes. At that time, [824]*824the trial judge asked whether the jurors thought a verdict might be reached following further deliberation; the jurors indicated that they believed agreement on a verdict was possible. During this exchange the trial judge told the jurors he was not attempting “to tell [them] how long [they were] going to deliberate or should deliberate.” After returning for further deliberation, the jury sent two questions dealing with punishment to the court at 8:00 p.m.4 The jury was again returned to the courtroom at 8:15 p.m. where the following occurred:
THE COURT: Please do not assume in my questions or in my discussion here with you that I have an opinion as to how long you should deliberate. Should have — Should continue, whatever, I have no opinion as to that.
* * * * * *
THE COURT: All right Is it your opinion that any further balloting will arrive at a unanimous verdict on the three counts presented to you because you have to give me a verdict in order to complete entire [sic] work of the jury. You have to give me a verdict. Guilty or not guilty on each of the three counts placed against you. Count I, Count II, and Count III.
Do you have a feeling that if you continue deliberating you will arrive at a unanimous verdict on each of the three counts?
THE FOREWOMAN: Yes.
THE COURT: Is there any juror who disagrees with anything that the foreman — forewoman has now told us? I’m not encouraging this agreement, I’m only encouraging openness in your response. So if you disagree you disagree and you should say so because very frankly if you all say to me, Judge, we should continue to deliberate, there is a chance we will arrive at verdict, [sic] I don’t care what the verdicts are. And under those circumstances considering all the time in this trial and effort that has been put into it and importance of this trial to both parties, I would, of course, ask you continue your deliberation, but that’s what I intend to do.
(Emphasis added.) At 8:30 p.m. the jury again retired and at 9:05 p.m. returned its verdict of guilty on the three remaining counts.
Before addressing the propriety of the trial judge’s remarks made at 8:15 p.m., we first consider whether the point has been properly preserved. The record indicates defense counsel did not object to any of the 8:15 p.m. exchange now alleged to constitute error. Rule 28.03 provides:
A party may, but is not required to, object specifically or generally on the record to the refusal of any instruction or verdict form which he has requested, or to instructions or verdict forms to be given at the request of any other party, or to instructions or verdict forms which the court on its own initiative has given or failed to give. However, specific objections to given or refused instructions and verdict forms shall be required in motions for new trial unless made on the record at the time of trial. Objections made at time of trial to the giving or refusing of instructions and verdict forms may be supplemented or enlarged in motions for new trial.
(Emphasis added.) Appellant’s complaint is directed toward the trial judge’s failure to give MAI-CR2d 1.10 and in this regard Rule 28.03 indicates a party is “not required to, object specifically or generally on the record” when the court has “failed to give” an instruction “on its own initiative” and for this reason appellant’s claim of error was not waived by absence of objection at trial.
The question then arises whether the claim of error was adequately present[825]*825ed to the court in appellant’s motion for new trial. Point seven of that motion asserted the following:
The Court erred in giving additional instructions to the jury when they returned to the courtroom and entered the jury box after they had been sent to the jury room with instructions.
(Emphasis added.) While the quoted language is less than a desirable model for such points, it does sufficiently assert that the trial court erred in giving the oral non-pattern instruction and it may reasonably be inferred that the prescribed pattern instruction should have been given. Hence we find no waiver.
Now to the merits: MAI-CR2d 1.10 provides:
It is desirable that there be a verdict in every case. The trial of a lawsuit involves considerable time and effort, and the parties are entitled to have their rights determined once and for all in every case. The twelve jurors chosen to try this case should be as well qualified to do so as any other twelve that might hereafter be chosen. Open and frank discussion by you in your jury room of the evidence in this case may aid you in agreeing upon the facts; however, no juror should ever agree to a verdict that violates the instructions of the Court, nor find as a fact that which under the evidence and his conscience he believes to be untrue. Yet each of you should respect the opinions of your fellow jurors as you would have them respect yours, and in a spirit of tolerance and understanding endeavor to bring the deliberations of the whole jury to an agreement upon a verdict.
(Emphasis added.) Rule 28.02(a) authorizes giving this instruction “when appropriate after extended deliberation by the jury.” Such instruction is the sole appropriate instruction as Rule 28.02(c) provides that an applicable pattern instruction “shall be given or used to the exclusion of any other on the same subject.” It is noteworthy that besides being read to the jury, MAI-CR2d 1.10 “shall be handed to the jury.” Notes on Use 2. In this case, Rule 28.02(c) was violated because a non-pattern oral instruction was given while the pattern instruction, MAI-CR2d 1.10, was not tendered. The giving or failing to give a pattern instruction is deemed to “constitute error” and the prejudicial effect is a matter to be determined on appeal. Rule 28.02(e).
The trial judge in State v. Hayes, 563 S.W.2d 11, 11-12 (Mo. banc 1978) was found to have “instructed orally” by stating the following:
Mr. Foreman, the communique which I’ve read of course, cannot be accepted by this Court as a verdict. I’m going to send you back to the Jury room with the admonishment that you are to read all of the instructions which have been given to you and that you deliberate further and thereafter return one of three verdicts. We, the jury, find the defendant, Larry Allen Hayes not guilty or We, the jury, find the defendant, Larry Allen Hayes, guilty as charged and assess his punishment and there you have two alternatives in accordance with the verdict which I have previously referred to or return a verdict that you’ve agreed upon the guilt but cannot agree upon the punishment.
I admonish this jury to bring back one of those verdicts and will ask you to deliberate further and to notify the Deputy when you have further communication to this Court.
(Emphasis added.) The italicized comments from Hayes are of similar tenor to the trial judge’s remarks in this cause, i.e. that “you have to give me a verdict in order to complete entire [sic] work of the jury. You have to give me a verdict. Guilty or not guilty on each of the three counts placed against you.” (Emphasis added.) But, the offending language was not accompanied by the explanatory language of MAI-CR2d 1.10 that, "... no juror should ever agree to a verdict that violates the instructions of the Court, nor find as a fact that which under the evidence and his conscience he believes to be untrue.” (Emphasis added.) In Hayes, we described the language quoted immediately above as [826]*826“a caution [which] is the crux of the instruction and its absence tends to detract from the basic duty of a juror and the fundamental concept of a fair trial.” Hayes, 563 S.W.2d at 12. (Emphasis added.) We concluded in Hayes that the oral instruction given “could have had a prejudicial effect on [the] appellant’s right to a fair trial.” Id. The oral instruction given in the case sub judice lacked the “caution” considered so crucial by this Court in Hayes. The fact that the jury returned its verdict thirty-five minutes after being admonished “[y]ou have to give me a verdict,” when the case had been under submission for seven and three-quarter hours, suggests a sufficient likelihood of prejudice so as to warrant the granting of a new trial. While some of the trial judge’s comments can arguably be referenced to support a finding that the verdict was not coerced and as ameliorating any adverse consequences the failure to give the approved instruction may have engendered, we believe the absence of the approved instruction’s essential “caution” coupled with the noted comments requires reversal.
The state argues that the decision in State v. Harvey, 641 S.W.2d 792 (Mo.App.1982) is “directly on point” and should be adopted in this case. There the Court of Appeals found that the trial judge had merely inquired whether the jury “could ” reach a verdict. Id. at 799. (Emphasis added.) We believe Harvey is distinguishable because the comment here “[y]ou have to give me a verdict” exceeded the boundaries of simply inquiring whether a verdict “could” be reached.
The judgment is reversed and the cause is remanded for a new trial.
BILLINGS, C.J., and DONNELLY, WELLIYER, and HIGGINS, JJ., concur.
BLACKMAR, J., dissents in separate opinion filed.
ROBERTSON, J., dissents and concurs in separate dissenting opinion of BLACKMAR, J.