Trump’s remarks were made during a “Fighting Antisemitism in America” event in Washington D.C., where he once again lamented Jewish Americans’ support for Democrats.

Trump has for years made the claim that American Jews who mostly vote for Democrats are mentally ill, and this year, he has taken to saying that Jews who vote for Democrats need to “have their head examined.” He has also repeatedly said Israel will be destroyed if he loses the election, a prediction he repeated Thursday.