Where D knows that his conduct is likely to bring on an automatic state e.g. Diabetic who knows risk and fails to take insulin.
Comes down to whether it was specific or basic intent.
(R v Bailey) - S.I. Aut. can be a defence where the charge is one of specific intent because D will lack the MR.
If the crime is a basic intent offence, Prosecution must prove the relevant MR. If automatism is caused by drink/illegal drugs, can't use defence (Majewski).
If D does not know actions will cause automatic state, has not been reckless and can use defence (Hardie)