Police say Gavin Zacherl, 31, called 911 on Saturday and said his boyfriend had been doing meth and stabbed himself in the chest.
Andrew Tongate, 28, was rushed to WakeMed where he was pronounced dead.
Zacherl, who lived with Tongate, in an apartment in the 4100 block of Lake Lynn Drive is now charged with murder.
He is being held in the Wake County jail.
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