The 3 1/2-minute video, posted on at least two websites on Tuesday, shows 22-year-old Matthew Cordle describing what led to the accident in which he killed the man three months ago.
"My name is Matthew Cordle, and on June 22nd, 2013, I hit and killed Vincent Canzani," he says somberly. "This video will act as my confession."
Cordle says in the video he "made a mistake" when he decided to drive his truck home after "drinking heavily" and hit the other car, killing the 61-year-old Canzani.
Cordle's face becomes clear as he reveals his name and confesses to killing Canzani.
"When I get charged I'll plead guilty and take full responsibility for everything I've done to Vincent and his family," Cordle says.
Later, he says he understands that by releasing the video he's giving prosecutors "everything they need to put me away for a very long time."
O'Brien said Cordle's blood sample from the night of the crash tested positive for alcohol and negative for drugs.
Defence attorney George Breitmayer III said the video "is a strong testament" to Cordle's character. He said Cordle intends to cooperate with prosecutors.
Cordle ends the video confession by "begging" viewers to not drink and drive.
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