The campus of Michigan State University in East Lansing, Michigan. (MLive.com file photo)

Two years after the first criminal charges were filed against former Michigan State University Dr. Larry Nassar, officials that worked with him are now also in court.

Five other people now face charges and accusations in court as a result of the investigation into Nassar's sexual abuse of the young athletes, mostly gymnasts, he saw as patients. The most recent official to be charged is former MSU President Lou Anna Simon.

In January 2018 just as Nassar was set to be sentenced, Michigan Attorney General Bill Schuette announced he would investigate MSU's handling of the sex abuse cases. That investigation has resulted in charges against three MSU officials and has not yet concluded.

The unmasking of Nassar's sexual abuse of his patients has caused many more officials to step down or resign their posts.

Here are the handful of officials that now face criminal charges or are in court:

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Larry Nassar listens during his sentencing at Eaton County Circuit Court in Charlotte, Mich., Monday, Feb. 5, 2018. (Cory Morse /The Grand Rapids Press)

Nov. 21, 2016: Larry Nassar

Legal actions began with Nassar. He was first charged Nov. 21, 2016, on three felony counts of first degree criminal sexual conduct.

The charges, brought by Schuette, stem from a complaint filed with the MSU Police by a victim who was under the age of 13 at the time of the assault. The victim was not a patient or gymnast in Nassar's care.

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Dec. 16, 2016: Nassar

Shortly thereafter, Nassar faced federal child pornography charges for possessing thousands of images on Dec. 16, 2016.

The Michigan Department of Licensing and Regulatory Affairs suspended Nassar's medical license about a month later.

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Feb. 22, 2017: Nassar

Nassar was charged with 22 additional counts of first degree criminal sexual conduct by Schuette on Feb. 22, 2017, in Ingham and Eaton counties. Nearly 200 women and girls came forward to give victim impact statements in his sentencing hearings, saying Nassar assaulted them under the guise of medical treatment.

Nearly a year later in January 2018, Schuette announced he is investigating MSU over the institution's handling of the sexual abuse Nassar carried out while working there.

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Larry Nassar reacts during his sentencing at Eaton County Circuit Court in Charlotte on Friday, Feb. 2, 2018. (Cory Morse | MLive.com)

Ultimately, Nassar pleaded guilty in all three criminal cases against him.

He was sentenced to 60 years in prison for three child pornography charges in federal court.

He was sentenced to between 40-175 years for seven counts of criminal sexual conduct in Ingham County, involving victims at his MSU office and at his Holt home.

He was also sentenced to between 40-125 years on three counts of criminal sexual conduct in Eaton County, involving victims at Twistars, a gymnastics club in Dimondale.

He is currently serving out his federal sentence and is imprisoned in Florida.

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William Strampel, the former dean of the Michigan State University College of Osteopathic Medicine who was Larry Nassar's boss, is pictured on a TV screen as he is arraigned via video conference in 54-B District Court in East Lansing on Tuesday, March 27, 2018. (Cory Morse | MLive.com)

March 27, 2018: William Strampel

Strampel, the former dean of the College of Osteopathic Medicine and Nassar's former boss, was the first MSU official to be charged in the state's investigation on March 27.

Strampel is charged with one count of fourth-degree criminal sexual conduct, a high court misdemeanor, and one count of misconduct in office, a five-year felony.

He served as dean from 2002 until he stepped down in December 2017.

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Former Michigan State University dean William Strampel listens to testimony during his preliminary examination in East Lansing on Tuesday, June 5, 2018. (Neil Blake | MLive.com)

Four women have alleged that Strampel harassed them, including grabbing the buttocks of female students.

Strampel's work computer also contained a video of Nassar performing a "treatment" on a young patient -- as well as other pornographic videos and photos.

MORE: Judge denies motion to dismiss case against ex-MSU dean

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June 29, 2018: Debbie Van Horn

A former trainer at an elite gymnastics training center in Texas was charged by a Texas grand jury with one count of second-degree sexual assault of a child in June.

Nassar was also charged with six counts of second-degree sexual assault of a child in Texas as well.

Both worked at the Karolyi Ranch, an elite gymnastics center in Texas. The charges are a result of an investigation into whether the owners of the center could have prevented Nassar's abuse at the now-closed ranch.

MORE: Larry Nassar, ex-trainer charged with sex assault in Texas

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Head coach Kathie Klages reacts during the MSU women's gymnastics meet against Illinois on Feb. 19, 2016 at Jenison Field House. (Photo by Sundeep Dhanjal/The State News Sundeep Dhanjal |The State News)

Aug. 23, 2018: Kathie Klages

Former MSU women's gymnastics coach Kathie Klages was charged with two counts of lying to police in August.

The charges -- one felony and one misdemeanor -- were the second to come from the state Attorney General's investigation into MSU's handling of the Nassar case.

Investigators specifically alleged Klages was approached by victims of Nassar and told her about their concerns with his treatment, but denied that she had been aware of any issues when questioned by an officer.

Judge Louise Alderson set a date of Oct. 10 for arraignment in Ingham County Circuit Court, but Klages waived that hearing. A next court date has not been set.

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In court Sept. 27, two women testified they told Klages about being abused by Nassar in 1997 when she was their coach -- but Klages dismissed their complaints. Klages will stand trial in Ingham County Circuit Court.

Klages was an MSU gymnastics coach for 27 years before she stepped down in 2017, a day after she was suspended by the university.

MORE: Kathie Klages bound over to trial on charges of lying during Nassar investigation

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In this Tuesday, June 5, 2018, file photo, former USA Gymnastics president Steve Penny invokes his right under the Fifth Amendment not to answer questions during a Senate Subcommittee on Consumer Protection, Product Safety, Insurance, and Data Security, on Capitol Hill in Washington. (AP Photo/Carolyn Kaster, File)

Oct. 17, 2018: Steve Penny

Former USA Gymnastics President Steve Penny was accused of tampering with evidence related to a sexual assault investigation of Larry Nassar and was arrested Oct. 17.

The indictment came from a Texas grand jury, according to the Associated Press.

The indictment alleges he ordered the removal of Nassar-related documents from the Karolyi Ranch, a gymnastics training center near Huntsville, Texas, according to the Associated Press.

Penny was president of USAG from 2005 until 2017, when he resigned under pressure related to the Nassar scandal.

MORE: Ex-USA Gymnastics president arrested, accused of tampering with Nassar evidence

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Michigan State University President Lou Anna Simon talks to Danial Munford of the MSU Police Department on Jan. 17, the second day of Larry Nassar's sentencing, at Ingham County Circuit Court in Lansing. (MLive.com files)

Nov. 20, 2018: Lou Anna Simon

Former MSU President Simon faces charges for lying to a police officer.

She faces two felony and two misdemeanor counts of lying to a peace officer, filed Nov. 20 in Eaton County District Court.

The state Attorney General's office is alleging Simon knew Nassar was the subject of a 2014 Title IX complaint, and lied about her knowledge of it to police. Simon resigned from her post at MSU Jan. 24.

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Michigan State University President Lou Anna Simon talks to the media during a break on the second day of Larry Nassar's sentencing at the Ingham County Circuit Court in Lansing on Tuesday, Jan. 17, 2018. (Neil Blake | MLive.com)

The charges against Simon are the third set of charges to come from the Attorney General office's investigation.

MORE: Ex-MSU president Lou Anna Simon charged with lying to police amid Nassar investigation

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Michigan State senior Erica Olivarez, of Grand Ledge, holds a handmade sign in protest of the university's non-action on Nassar for 20 years as hundreds of MSU students rally in support of sexual assault survivors on Friday, Jan. 26, 2018 at "the rock" near the center of campus in East Lansing. (Jake May | MLive.com)

Fallout

The Nassar scandal has cost MSU deeply.

Though five officials face criminal charges, many more have stepped down from their positions this year.

The university itself has lost clout -- a global financial ratings agency downgraded MSU's outlook to "negative" due to risk management issues and financial obligations from the Nassar scandal. And the Mastercard Foundation is ending a $45 million commitment to fund the education of African students at MSU.

Athletic Director Mark Hollis and Simon departed in January as a result of the controversy.

The moves were the beginning of a series of resignations:

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Hundreds of Michigan State students march to the steps of the administration building as they rally in support of sexual assault survivors on Friday, Jan. 26, 2018 on campus in East Lansing. (Jake May | MLive.com)

In April, the head of MSU's alumni association -- Scott Westerman -- resigned two months after a Title IX complaint was filed against him.

In May, MSU's top legal counsel, Robert Noto, retired, and MSU replaced its legislative liaison and its lead spokesperson.

In June, only a few months after Jessica Norris was promoted to head a new oversight office overseeing civil rights and sexual assault complaints at MSU, she resigned for another job outside of Michigan.

Also in June, the Department of Licensing and Regulatory Affairs opened investigations into Gary Stollak, a retired MSU psychologist, several doctors at the MSU Sports Medicine Clinic -- including Dr. Jeffrey Kovan, Dr. Douglas Dietzel and Dr. Brooke Lemmen. Lemmen resigned in 2017. Also under investigation by LARA are MSU athletic trainers Destiny Teachnor-Hauk and Lianna Hadden.

In August, MSU Board of Trustees Chairman Brian Breslin resigned from his role in Gov. Rick Snyder's office as director of appointments to focus more of his time to Nassar fallout at MSU.

In September, Stollak was forced to permanently surrender his psychology license for failing to report a patient's allegations of sexual abuse by Nassar.

Also in September, Kerry Perry resigned under pressure as USA Gymnastics president after intense scrutiny during her nine months on the job for her handling of the fallout of the Nassar case.

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(Trustee George Perles listens during the Michigan State University Board of Trustees end-of-term meeting inside the Hannah Administration Building on MSU's campus in East Lansing on Friday, June 22, 2018. Cory Morse | MLive.com)

Another longtime MSU figure has also been caught in the Nassar fallout.

Former MSU Athletic Director George Perles -- now a trustee on MSU's governing board -- has been accused of covering up Nassar's rape of a female athlete in 1992 in a civil lawsuit.

Erika Davis was a 17-year-old student at MSU at the time, and alleged in a lawsuit that Nassar raped her and she subsequently became pregnant and miscarried.

The rape was recorded on video, Davis said in her lawsuit. After reporting this to her coach, the coach took the matter to Perles, according to the suit. Perles allegedly forced the coach to resign and took the recording, according to the lawsuit.

However, some say the lawsuit is marked with inconsistencies and draws questions. Among them: the suit claimed Nassar was a world-renowned doctor in 1992. Nassar was still a student at that time and didn't become a doctor until 1993.

Perles, 84, served as athletic director from 1990-1992 and as MSU's head football coach from 1982 to 1994 -- after which he was fired from coaching as an internal investigation found various infractions including grade tampering by an athletic department administrator. He was first elected to the MSU Board of Trustees in 2006.

MORE: Suit accusing Perles of covering up a Nassar rape raises questions

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