An Iowa woman who falsely claimed to have cancer and documented her “battle” on social media will stay out of prison after a judge gave her probation and a suspended sentence.

Madison Russo, 20, never had pancreatic cancer, leukaemia nor the football-sized tumour wrapped around her spine she claimed to suffer from in posts on TikTok, GoFundMe, Facebook and LinkedIn. But over 400 people sent her donations. As part of the 10-year suspended sentence handed down on Friday, she was ordered to pay US$39,000 ($66,644) in restitution and a US$1370 ($2341) fine. If she stays out of trouble for three years of probation, she’ll stay free.

The Bettendorf woman pleaded guilty in June to first-degree theft. In court on Friday, Judge John Telleen declined a defence request that would have wiped the conviction off her record if she completed probation successfully. He said people who deal with her in the future should know that she once engaged in a “criminal scheme” and that “serious crimes must have serious consequences”.

“Through this scheme, you deceived your friends, your family, your community, other cancer victims, charities and strangers who were motivated by your supposedly tragic story to donate to help support you,” the judge said.

Russo told the court she made her story up because she hoped her fake cancer battle would force her troubled family to focus on her.

“A lot of people have made speculation as to why I did this and how somebody who looked like they had everything together could have such a mess,” she said. “I didn’t do this for money or greed. I didn’t do this for attention. I did this as an attempt to get my family back together.”

Russo, an Iowa woman who falsely claimed to have cancer and documented her “battle” on social media will stay out of prison after a judge gave her probation and a suspended sentence. Photos / AP and 123RF

Her sentence also includes 100 hours of community service. She paid the $39,000 ($66,644) restitution earlier, and the money was being held by the court. GoFundMe has already sent refunds to donors.

Her scam unravelled when medical professionals spotted discrepancies in her story online. Police subpoenaed her medical records and found she had never been diagnosed with cancer at any medical facility in the area. She was arrested in January.

Scott County prosecutor Kelly Cunningham recommended against prison time because Russo had no criminal history, had good grades in college, was employed and was unlikely to re-offend. That bothered Rhonda Miles, who runs a pancreatic cancer foundation in Nashville, Tennessee that donated to Russo, and she testified at the hearing.

“It was devastating to sit there and watch the Scott County prosecuting attorney act like a defending attorney, so that was tough,” Miles said. “And I think she’ll have a lot of questions to answer from the locals on that at some point. Why were you defending this girl when you were supposed to be prosecuting?”

Russo apologised to the court and her victims, and said she wished she had sought help regarding her family.

“I fully acknowledge what I did was wrong. And I’m incredibly sorry,” she said through sobs. “If there was anything I could do to take it back, I would. The reality is I can’t.”