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According to Arbuckle, he and the other partygoers thought she simply had too much to drink, so they left her in a room alone to recover. When partygoers later checked on Rappe, they recognized she was still unwell and called on the hotel staff to get her out of there, but she was not taken to a hospital immediately. Rappe was eventually taken to a hospital, and she died from peritonitis caused by a ruptured bladder.<ref>Gary F. Fine, "Scandal, Social Conditions, and the Creation of Public Attention," p. 300 and Johnson, "Fatty Arbuckle Trials (1921-1922)," p. 242-243.</ref>

According to Delmont, Rappe and Arbuckle had a few drinks, and then he pulled her into an adjoining room. Delmont heard Arbuckle say “I’ve waited for you five years and now I’ve got you.” Delmont claimed that after about half an hour, she heard screaming, so she forced her way into the room. Delmont claimed that she saw Rappe sprawled on the bed, naked and bleeding crying: “Arbuckle did it.” According to Delmont’s version of events, the ruptured bladder was caused by Arbuckle’s heft atop Rappe when he was raping her. Some journalists accused Arbuckle of raping her with a foreign object.