Celebrity gossip blogger Perez Hilton, whose real name is Mario Armando Lavandeira Jr., was hospitalized Tuesday night after broadcasting apparent self-harm on a TikTok livestream from his Miami home.
Hilton remains in serious but stable condition and will require surgery following “significant blood loss,” according to his family, who say he is being held under the Mental Health Act.
The platform has acknowledged a “moderator error” allowed the footage to remain visible.
Writer Meecham Meriweather, who covers entertainment and pop culture, told USA TODAY he came across a reposted clip while scrolling on X and described it as “deeply, deeply disturbing and very gruesome.”
The Miami-Dade Sheriff’s Office confirmed that deputies “received multiple calls regarding an individual who was livestreaming acts of self-harm on social media.”
According to the sheriff’s office, Hilton was “safely recovered” and transported by Miami-Dade Fire Rescue to a local hospital for medical attention.
TikTok has not publicly detailed what specifically went wrong in its review queue, or how long the stream remained accessible before takedown.
The platform’s policies prohibit content that depicts or encourages self-harm, and it has long maintained that human moderators supplemented by automated tools flag such material rapidly.
The acknowledgment of a “moderator error” raises questions about whether the company’s safety systems functioned as designed during a high-risk, time-sensitive incident — a category of content where delays measured in minutes can carry life-or-death consequences.
Calls for grace, and a backlash
As news of the hospitalization spread, actor Jared Padalecki publicly reached out to Hilton on X.
“Just wanted to reach out and let you know that you’re in my thoughts. This ‘being human’ is a strange thing. Exhilarating. Exhausting. Fast. Slow. Wonderful… and… at times… awful,” the Supernatural alum wrote.
“I hope you are trying as best as you can to be kind to yourself right now. Please surround yourself with the love and support that all humans deserve. This too shall pass. You got this.”
The post drew immediate backlash from some of Padalecki’s followers, who pointed to Hilton’s history of outing celebrities and publishing cruel, invasive gossip about female stars.
“Are you kidding? He is the biggest bully — what he’s done to people (women especially) is disgusting, and you [are] asking him to be kind to himself?” one X user replied.
“Are the people he’s bullied in [your] thoughts? You won’t care — but I’ve supported you and stood up for you for [years]. I’m done.”
Padalecki deleted the post and apologized on Sunday, writing, “I didn’t know. It’s been brought to my attention. I’m sorry.”
In a follow-up post, he said he had “ABSOLUTELY NO IDEA” about Hilton’s past but had heard Hilton “hadn’t exactly ‘been kind’ to me in the past. So, my thought is always to give grace and forgiveness to those who may have tried to ‘harm’ you.”
Other fans defended the gesture.
“Some of these comments make me ill,” one X user wrote.
“I’ve done things I’m not proud of. I was mentally unwell. A person needs empathy and kindness, regardless of what they’ve done in the past. Mental illness sucks. I wouldn’t wish it on anyone.”
A complicated legacy surfaces
The debate has resurfaced accounts from figures Hilton covered during the height of his blog’s influence in the 2000s.
Mischa Barton rejected his 2019 on-camera apology during The Hills: New Beginnings, telling Hilton that his coverage had compounded the pain she was already experiencing at the height of her fame.
Ireland Baldwin, 30, wrote on her Instagram story that he had publicly “humiliated my family for years” and “sexualized me from a young” age, with the post cut off in available reporting.
Hilton’s hospitalization has placed a once-feared gossip blogger at the center of the very public scrutiny he once dispensed, and prompted a broader reckoning over how the internet weighs empathy for an individual’s suffering against accountability for past harm.
The platform moderation failure that allowed the livestream to persist has added a parallel conversation about the responsibilities of the platforms that host these moments in real time.
M. Yogesh runs the newsroom at The Pop Reporter and writes the entertainment news that spans more than one topic — industry changes, awards, and stories that cross movies, TV, and music. His approach is simple: get the facts right first, then give readers the context that explains why it matters.