Sandusky, dressed in a red jail jumpsuit, stood stone-faced as his sentence was read. But in a rambling speech that incorporated sports metaphors, discussion of his sexual relationship with his wife, Dorothy, and comparisons of himself to other sports underdogs like the racehorse Seabiscuit, he vowed to continue efforts to clear his name.
"We're in the fourth quarter," he said. "In the fourth quarter, you find out who will stand by you. For those still standing up for me, we will continue to fight."
Afterward, he was returned to the Centre County jail, where he is expected to stay at least 10 more days before being sent to a state prison processing center near Camp Hill. There, a decision will be made on where he will serve out his punishment.
Tuesday's sentence marked a significant milestone in a scandal that turned Sandusky, a nationally famous coach and a revered philanthropist, into one of the most reviled men in America.
At his June trial, at which a jury convicted him of 45 counts of child sex abuse, prosecutors detailed a pattern of abuse in which the former coach targeted boys with absent fathers, gave them access to the Penn State football community, and eventually pressed them for sex.
Eight accusers took the stand. Each told harrowing tales of Sandusky entering their lives as a mentor and father figure through the Second Mile, the charity he founded for underprivileged youth, only to become their predator.
In court Tuesday, several described their continuing struggle to process the abuse they endured.
"I'm troubled with flashbacks of his naked body," the 26-year-old identified in court documents as Victim 5 told the judge. "The sentencing will never erase what he did to me. It will never erase from my memory his hands on my skin or mine on his."
The mother of another 19-year-old victim said in a statement read in court that she now questions all of her parenting decisions since learning that the man she brought into her son's life as a surrogate father turned out to be a pedophile.
"I blame myself and still do for your sick indulgences," she wrote.
Others adopted a more forceful tone in addressing their abuser.
"I grew up in a bad situation, and you made things worse," said the 29-year-old known as Victim 4. "You should be ashamed of yourself."
In explaining his sentencing decision, Cleland noted the resulting community fallout from Sandusky's crimes.
In July, the NCAA imposed crippling sanctions on Penn State's once-revered football program, alleging that several top administrators covered up allegations against him.
Head football coach Joe Paterno and college president Graham B. Spanier both lost their jobs for their handling of the scandal.
"So many people have been personally involved in the issues surrounding this case and its fallout," Cleland said. "For some, their innocence has been taken; for others, their sense of community has been shattered. All of them have come here looking for justice."
But as the sentencing closed one chapter of the Sandusky saga, more are still to come.
Two former university administrators - suspended athletic director Tim Curley and former vice president Gary Schultz - face trial in January for reportedly failing to notify authorities of earlier allegations against Sandusky and later lying about them to a grand jury. Their lawyers watched Tuesday's hearing attentively from courtroom pews.
Four of the former coach's accusers have filed civil suits against Penn State, with several more expected to follow in the coming months.
And even before the courtroom cleared Tuesday, Sandusky's defense team began making its case for an appeal.
Lawyers Joseph Amendola and Karl Rominger said they intended to contest their client's conviction within the next 10 days, arguing that they did not have enough time to prepare an adequate defense.
Only seven months elapsed between Sandusky's arrest in November and the start of his trial in June, leaving scant time to pore over thousands of pages of documents and interview dozens of crucial witnesses, they said.
"I can get you three continuances for a parking ticket," Rominger said to reporters after the hearing. "But I can't get one continuance for Jerry Sandusky?"
Sandusky continued to maintain his innocence of "those alleged disgusting acts" during his speech before the court.
He complained of the isolation of his new life in prison and decried efforts to paint him as a monster, echoing an earlier recorded statement aired by a student-run campus radio station Monday evening.
In that statement, the former coach insisted without remorse that prosecutors, Penn State, the media, and his accusers conspired to put him behind bars at all costs.
In court, Sandusky struck a slightly less defiant, if more peculiar, tone.
"I've forgiven, I've been forgiven. I've comforted others," he said. "I've been kissed by dogs, I've been bit by dogs. I've been a fighter. I've conformed. I've been loved. I've been hated. I've been different. I've been me."
At times he slipped into childlike language.
"Like my grandson Brady learned from his preschool teacher," he said, "you get a mean and crinkly heart if you're mean to others; you get a big heart if you're kind to others."
His wife thanked several supporters after the hearing but declined to comment on the sentence. But in a letter submitted to Cleland that was released Tuesday, she lamented her husband's fate.
"I now have no faith in the police or legal system. To think that they can lie and get by with the lies," she wrote.
As the hearing wound down, Cleland took a moment to speak to directly to Sandusky's victims.
"The fact that you were assaulted is no cause for embarrassment or shame," he said. "His conduct was no fault of your own. As adults, you've now come forward to hold him accountable. It is for your courage, not for your assault, that you will be remembered."
Contact Jeremy Roebuck at 267-564-5218, firstname.lastname@example.org, or @jeremyrroebuck on Twitter.
We invite you to comment on this story by clicking here. Comments will be moderated.