22Cytotoxic T lymphocytes (CTL) eliminate tumor target cells in an antigen and cell-contact 23 dependent manner. Lethal hit delivery occurs as a rapid and binary, "yes/no" process when 24 immunogenicity is very high 1-3 , however in vivo CTL often fail to kill solid tumor cells 25 during 1:1 conjugations 4-6 . Using long-term time-lapse microscopy in three distinct tumor 26 cytotoxicity models and statistical modeling, we here show that migrating CTL transit 27 between target cells and initiate apoptosis by a series of sublethal interactions ('additive 28 cytotoxicity'), while individual conjugations rarely induced apoptosis. Sublethal damage 29 included perforin-dependent membrane pore formation, nuclear lamina rupture and DNA 30 damage, and these events resolved within minutes to hours. In immunogenic B16F10 31 melanoma tumors in vivo, frequent serial engagements and sublethal hit delivery of CTL 32 was largely confined to interstitial niches in the invasion front, resulting in eradication of 33 invading tumor cells. Thus, additive cytotoxicity is a probabilistic process achieved by a 34 series of CTL-target cell engagements and sublethal events. The need for additive "hits" 35 contacts resulted in the serial killing of multiple neighboring target cells by a single CTL ( Fig. 66 1a; Movie 1). On the population level, 50% of the CTL acted as serial killers (maximum of 11 67 killed target cells/24 h), whereas a small CTL subset (15%) repeatedly contacted target cells 68 without inducing apoptosis (Extended Data Fig. 1e). The percentage of CTL with killing 69 capacity correlated with the surface expression of Lamp-1 by 85% of CTL, indicating 70 recognition of the target cells and lytic vesicle exocytosis by the majority of CTL (Fig. 1b). The 71 lag phase to apoptosis was neither compromised nor accelerated over consecutive killing events 72 ( Fig. 1c), which resulted in a consistent eradication frequency of 1 kill every 2 hours (Extended 73 Data Fig. 1f). This excludes gain of cytotoxicity by kinetic priming through repetitive antigenic 74 interactions. Thus, OT1 CTL serially eliminate highly immunogenic target cells over 24 h and in 75 a non-exhaustive manner. 76 CTL induce sublethal damage 77 To compare effector function against solid tumor cells, which typically retain resistance to CTL 78 mediated killing, OT1 CTL were confronted with mouse melanoma B16F10 cells expressing the 79 OVA peptide (B16F10/OVA) (Extended Data Fig. 2 a-d; Movie 2). As a second model, IL-2 80 activated human SMCY.A2 CTL 14 , which recognize an HLA-A2 restricted antigen encoded on 81 the y chromosome, were confronted with male human melanoma cell lines BLM or MV3 82 (Extended Data Fig. 2 e-i; Movie 3). Compared to the MEC-1/OVA cells, these three 83 melanoma models show delayed, but ultimately effective target cell elimination at the end-point 84 after 24 hours, whereas OVA-negative B16F10 or female MCF-7 cells survived (Fig. 1e). Thus, 85 the endpoints of both murine and human models for probing CTL effector function show 86 compar...