Donald Trump called Hillary Clinton “such a nasty woman.” Clinton said Trump “thinks belittling women makes him bigger.” And in one of the most striking moments of a presidential campaign with all too many of them, Trump refused to say that he would even accept the outcome of a democratic election.

The third and final presidential debate between the Republican nominee Trump and his Democratic rival Clinton had all the vitriol that has defined their contest, with interruptions, insults and more. At least one scientific poll said Clinton—who has opened up a formidable lead across the electoral map amid Trump’s slide in the polls—was once again the victor.

Watch the highlights above.