"Not know the "nature and quality" of his act"
D must be totally unaware of his actions- unconsciousness or blackout or state of consciousness that they have no realisation what is going on
R v Windle- Had a history of mental health issues and murdered his wife, however he said "i shall be hung for this"- so understood that his actions were wrong
R v Johnson- D knew his actions were legally wrong but not morally wrong, Court of Appeal said that the test where to determine if D knew their actions were legally wrong