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Abstract Background Non-ambulatory pigs, colloquially known as downers or downed pigs, are animals presented with limited to no mobility, usually as a result of pre-existing neurologic or musculoskeletal conditions. Impaired ambulation is a major cause of euthanasia in pigs, leading to economic losses and animal welfare concerns. Additionally, reaching the underlying diagnosis of impaired ambulation in pigs is commonly a challenging task for swine practitioners. The aim of this necropsy-based study was to report the clinical, etiological, and pathological findings of 76 non-ambulatory grower-finisher pigs, and to correlate tail-biting lesions with the causes of death/reason for euthanasia in non-ambulatory pigs. Necropsies of downed pigs were performed during on-site visits to two pig farms in southern Brazil. Results The diagnosis of the conditions was based on the clinical, macroscopic, histopathological, bacteriological, immunohistochemical, and molecular findings. The diseases diagnosed in non-ambulatory pigs in this study were suppurative arthritis (29/76), suppurative spondylitis (10/76), PVC-2 associated diseases (8/76), bone fracture (7/76), non-suppurative meningoencephalomyelitis (4/76), suppurative meningoencephalitis (6/76), fibrocartilaginous thromboembolism (3/76), epiphysiolysis (3/76), ascending bacterial myelitis (3/76), and other conditions (3/76). The frequency of suppurative arthritis, suppurative spondylitis, and ascending bacterial myelitis/meningitis was higher in pigs with tail biting lesions than controls (P