Dale Cregan told a psychiatrist he had killed a father and son and two police officers, a court has heard.
Cregan has previously admitted killing PCs Fiona Bone, 32, and Nicola Hughes, 23, in a gun and grenade attack but denies killing David and Mark Short.
The psychiatrist told Preston Crown Court Cregan made the admissions during interviews while on remand and on one occasion told of his killing fantasies.
Cregan, 29, denies murder, attempted murder and causing an explosion.
The forensic psychiatrist said that in one conversation Cregan, who is alleged to have used a gun and grenade to kill David Short, said: "If I had had time I would have cut his head off."
Cregan told the doctor he had had the "best sleep of my life" after killing David Short, the court was told.
The court has been told he went on the run after allegedly murdering Mark Short, 23, in The Cotton Tree Pub, Droylsden on 25 May and his father David, 46, at home in Clayton, Manchester 10 weeks later.
He killed the police officers by luring them to an ambush.
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