LAMAR, Justice, for the Court:

¶ 1. In this medical-malpractice case, we must decide whether the Circuit Court of Lincoln County abused its discretion by dismissing Quizzie Manning's case with prejudice. We find that the circuit court did not abuse its discretion by dismissing the case with prejudice; therefore, we affirm the circuit court's judgment.

FACTS AND PROCEDURAL HISTORY

¶ 2. This medical-negligence case arises from Quizzie Manning's May 16, 2008, visit to King's Daughters Medical Center's (KDMC) emergency room. Manning alleges that she sustained injuries as a result of KDMC's negligence during that visit. On May 7, 2010, nearly two years after Manning's visit to KDMC and less than ten days before the statute of limitations ran on her claim, attorney Alfred Felder sent KDMC a letter on Manning's behalf giving KDMC notice of Manning's intent to sue, as required under Mississippi Code Section 15-1-36(15). On July 14, 2010, Manning, purportedly acting pro se, filed suit against KDMC and other parties. Apparently, Felder drafted Manning's complaint even though he did not sign it.1 As Manning filed her complaint pro se, she did not attach a certificate regarding consultation with an expert prior to filing suit, as required under Mississippi Code Section 11-1-58, because she was exempt from the requirement under Section 11-1-58(d).2

¶ 3. The complaint was served on KDMC on November 10, 2010, 119 days after the complaint was filed and one day before Manning's time for service ran. The complaint included an address for Manning in Brookhaven, Mississippi. On November 18, 2010, KDMC filed its answer and propounded its initial discovery to Manning and served the documents on her by sending them to the address provided in the complaint via first-class mail. More than six months passed without a response from Manning. On June 27, 2011, KDMC filed its first motion to dismiss under Rule 41 of the Mississippi Rules of Civil Procedure or, alternatively, for summary judgment. KDMC noticed a hearing on its motion for August 1, 2011, and again served its motion and notice of hearing on Manning at the address provided in the complaint via U.S. Mail. However, on July 8, 2011, the documents KDMC sent to Manning were returned as "not deliverable as addressed, unable to forward."

¶ 4. On July 11, 2011, KDMC wrote a letter to Felder and requested that he advise how Manning could be served. KDMC then attempted to have Manning served with its motion and notice of hearing via process server at the address provided in her complaint. However, the process server was unable to serve the documents. Counsel for KDMC represents that the process server was told by the residents at the address that Manning was not there and was currently in Georgia, and that their attorney, Al Felder, had advised them not to accept the documents or give the process server Manning's current address. Counsel for KDMC then called Felder in an attempt to obtain Manning's current address, but was not successful. Felder represented to KDMC's counsel that he was still reviewing the case and had not yet made a decision as to whether he was going to enter an official appearance. KDMC was unable to serve Manning with its motion or notice of hearing; therefore, it did not move forward with the hearing.

¶ 5. On July 5, 2012, a year later, KDMC filed a supplement to its motion to dismiss or, alternatively, for summary judgment, and renoticed a hearing on the motion for Monday, August 6, 2012. KDMC again served its motion and notice on Manning via U.S. Mail at the address she had provided in her complaint and also served the motion and notice on Felder. On Friday, August 3, 2012, Felder filed Manning's response to KDMC's motion. Felder officially entered an appearance in the case on Monday, August 6, 2012.

¶ 6. A hearing on KDMC's motion to dismiss or, alternatively, for summary judgment, was held on August 6, 2012. At the hearing, counsel for KDMC argued that Felder's actions were unconscionable and the suit should be dismissed as a sanction. Specifically, KDMC argued that Felder had Manning file a pro se complaint because Felder could not comply with the requirements of Section 11-1-58, and that the suit had been "sitting still in the water for the last two years as a direct result of the acts of counsel in advising his client not to respond, not to accept, and not to advise where she can be found." KDMC did not argue that it was entitled to summary judgment in the case.

¶ 7. Felder argued that he did not represent Manning in the court until he made an entry of appearance because his "understanding of being represented by an attorney in a piece of litigation is that you're on the pleadings or you've made an entry of appearance, one or the other," and he had not entered an appearance at the time the complaint was filed. Felder further argued that, because Manning was not represented until he entered his appearance in the case, Manning had properly filed her complaint pro se and was not required to review her case with an expert witness prior to filing suit or to file the certificate contemplated by Section 11-1-58. As to why he had not entered an appearance until August 2012, Felder represented to the circuit court that he had experienced ongoing health problems since January 2010. Felder never denied that he had been involved with the case from the very beginning or that he had been advising Manning since at least the time he sent the notice letter on her behalf.

¶ 8. Felder represented that he did not remember whether he had spoken with Manning's relatives when the process server was attempting to serve KDMC's motion, but that normally he would advise someone not to accept papers that were not theirs. Felder also made an issue of the fact that KDMC never filed a motion to compel a response to its discovery and that the case had been on the docket for only two years, which he argued was not a long time, because many cases have been on the docket for two years or more. Felder argued that, given the totality of the circumstances, Manning's case should not be dismissed, and that, if he did something wrong, which he denied, he should be sanctioned personally.

¶ 9. During oral argument, the circuit court focused on whether or not it should dismiss the case based on Manning's behavior over the past two years, at one point asking Felder to give a "compelling reason" why the case should not be dismissed "based on Quizzie Manning's behavior over a two-year period." In its bench ruling, the circuit court found that the case involved the worst gamesmanship that the court had ever seen. The court found that Manning personally had been "playing games" and that it would have to decide if Manning's actions should result in the ultimate sanction of dismissal.

¶ 10. The court noted that Manning, a pro se plaintiff, seemed to have an unusual grasp of the time limits set by the rules, but yet did not realize that it was her duty to provide a mailing address at which she could receive documents related to her case. The court further noted that Manning had responded to KDMC's motion to dismiss or for summary judgment on the Friday before the Monday hearing, and had never responded to KDMC's discovery. The court also found the argument that KDMC was required to file a motion to compel to be without merit, in part because the court found Manning did not have any intention to respond to discovery that had been outstanding for two years and because KDMC had no way to serve the motion to compel.

¶ 11. The circuit court found that Manning was not represented by Felder during the two years the case sat on the docket. The court concluded that, while Section 11-1-58 did not require a pro se plaintiff to review her case with an expert witness prior to filing suit or to file a certificate, "[t]his is an extreme example for two years of a pro se plaintiff who would not take part in the litigation process, did not give a valid address. That's at best. At worst, she took active measures through family members to avoid service of any type of document in this case." The court reasoned that the consideration the Legislature gave to pro se plaintiffs did not apply in this case because of her obvious actions to avoid participating in the litigation. Therefore, as a result of Manning's actions, the court ruled that her case would be dismissed with prejudice and KDMC would be granted summary judgment.

¶ 12. In its order, the court found that Manning had filed a pro se complaint but had made no effort to respond to discovery propounded to her for more than two years or to respond to KDMC's motion to dismiss or, alternatively, for summary judgment until the Friday afternoon before the Monday hearing. The court specifically found that:

The circuit court held that, under the circumstances, the motion to dismiss under Rule 41(b) or, alternatively, for summary judgment should be granted and the case dismissed with prejudice. Manning now appeals from the circuit court's order.

DISCUSSION

¶ 13. Manning raises the following three issues on appeal:

I. Whether the circuit court erred in granting KDMC's motion for summary judgment.

¶ 14. Manning argues that the circuit court erred in granting KDMC's motion for summary judgment because she attached a doctor's affidavit, in which the doctor opined that the treatment Manning received at KDMC deviated from the standard of care, to her response to the motion for summary judgment. Therefore, Manning argues that her response created a material issue of fact that precluded summary judgment under Rule 56 of the Mississippi Rules of Civil Procedure. KDMC argues that Manning's and Felder's actions constituted gamesmanship intended to manipulate the judicial system in order to escape the requirements of Section 11-1-58 and that the circuit court's grant of summary judgment essentially disregarded the affidavit filed on the last business day before the hearing, thirteen months after the motion was filed. KDMC further argues that the standard for considering motions for summary judgment is not relevant to the issues in this appeal, as the circuit court's decision focused on the acts of the purportedly pro se plaintiff and found those actions justified dismissal with prejudice.

¶ 15. In its motion, KDMC first requested that the circuit court dismiss Manning's complaint under Rule 41(b) due to her lack of prosecution over the past two years, and alternatively requested that the circuit court grant KDMC summary judgment in the case because Manning had presented no evidence to establish a material question of fact. The circuit court did not find that Manning had failed to establish a material question of fact and did not dismiss her case under Rule 56. Although the bench opinion and order could have been more specific about what rule the court utilized to dismiss the case, the affidavit provided by Manning and whether Manning had created a material issue of fact were never discussed at the hearing or in the order. Rather, the circuit court's questions at the hearing, as well as its findings at the hearing and in its order, focused on Manning's lack of participation in the lawsuit for the past two years. We find that the circuit court dismissed Manning's case under Rule 41(b), not Rule 56. Therefore, we find that Manning's argument on this issue is misplaced and without merit.

II. Whether the circuit court erred in dismissing Manning's case for failure to consult with a physician prior to filing suit.

¶ 16. Manning argues that, to the extent that the circuit court dismissed her case because she failed to consult with a physician prior to filing suit, the court erred because she filed her case pro se and the statutory requirements of Section 11-1-58(6) did not apply to her. While KDMC argues that Manning and her counsel engaged in gamesmanship to avoid the requirements of Section 11-1-58(d), it does not argue that Manning's failure to consult with a physician prior to filing suit is a proper basis to dismiss her case.

¶ 17. Although the circuit court mentioned the requirements of Section 11-1-58, the court did not hold that Manning should have complied with the statute, even though she was purportedly acting pro se, and did not dismiss her case for failure to consult with an expert prior to filing suit. In fact, the court treated Manning as a pro se plaintiff and recognized that the Legislature intended to provide "special consideration" to pro se plaintiffs under the statute. The court did find that those special considerations did not give a pro se plaintiff license to allow her case to sit at a standstill for over two years. The circuit court did not base its ruling on Manning's failure to consult with an expert prior to filing suit, but rather based its ruling on Manning's conduct after she filed suit. Therefore, we find that Manning's argument on this issue is misplaced and without merit.

III. Whether the circuit court erred in dismissing Manning's case under Rule 41(b).

¶ 18. As discussed above, this case was dismissed with prejudice on KDMC's motion to dismiss under Rule 41(b) or, alternatively, for summary judgment. Rule 41(b) "permits defendants to move for dismissal of any action `[f]or failure of the plaintiff to prosecute'" and "embodies the tenet that `any court of law or equity may exercise the power to dismiss for want of prosecution ... necessary as a means to the orderly expedition of justice and the court's control of its own docket.'"3 Although the circuit court did not clearly articulate what rule it used to dismiss Manning's case, it is clear from the transcript and order that the court dismissed Manning's case due to her failure to prosecute and the two-year delay in her case after she filed suit. Therefore, we analyze this case under Rule 41(b).

¶ 19. We review a lower court's dismissal of an action under Rule 41(b) for an abuse of discretion.4 "Because the law favors a trial on the issues on the merits, a dismissal for want of prosecution is employed reluctantly."5 "[T]his Court may uphold a Rule 41(b) dismissal when there is: (1) a record of dilatory or contumacious conduct by the plaintiff; and (2) a finding by this Court that lesser sanctions would not serve the interests of justice."6 While aggravating factors or actual prejudice "may bolster the case for dismissal," they are not requirements.7

A. Clear record of delay

¶ 20. The circuit court found that Manning initiated her complaint pro se, but failed to provide a valid address for receiving pleadings, made no effort to respond to outstanding discovery for two years, failed to respond to KDMC's 2011 motion to dismiss for more than one year and in fact did not respond to the motion until the Friday before the Monday hearing. The circuit court concluded that the case was at a "literal stand still for two years" due to Manning's actions. Manning argues that she was forced to spend time in Georgia receiving assistance from family due to the injuries she sustained as a result of the negligence alleged in her complaint, that no motion to compel discovery was ever filed, and that two years is not a long time for a case to be on the docket.

¶ 21. We find that the record supports a determination that Manning's conduct resulted in a clear record of delay. Not only did Manning fail to take any action in her case for two years after filing suit, she failed to provide an address where she could receive pleadings. We have held recently that a plaintiff's failure to respond to discovery for approximately seventeen months supported a finding of a clear record of delay, sufficient to warrant dismissal with prejudice.8 Additionally, the first action Manning took in her case after filing suit was reactionary, which we previously have considered as a factor supporting a finding of a clear record of delay.9 Furthermore, the fact that KDMC did not file a motion to compel Manning's responses to its outstanding discovery does not weigh in her favor, as the test regarding a clear record of delay "focuses on a plaintiff's conduct, not on the defendant's efforts to prod a dilatory plaintiff into action."10 As there is a clear record of delay in this case, a showing of contumacious conduct is not necessary.11

B. Additional Considerations of Prejudice and Aggravating Factors

¶ 22. "The trial court may consider prejudice or the presence of a aggravating factor, and these considerations may help to bolster or strengthen a defendant's case in support of dismissal. These considerations, however, are not a prerequisite to dismissal under Rule 41(b)."12 Delay alone may suffice for a dismissal under Rule 41(b).13 In this case, the circuit court did not specifically consider the presence of prejudice or aggravating factors; however, some findings made by the circuit court fall under these considerations.

1. Prejudice

¶ 23. The circuit court did not make a finding regarding prejudice to KDMC. Manning argues that KDMC has not shown any prejudice due to any delay attributable to her actions; KDMC argues that it is impossible to know what prejudice it may experience, as Manning still has not responded to discovery and there is no way to know what information may have been lost.

¶ 24. The circuit court found that Manning, at best, failed to take part in the litigation process she initiated, keeping her case at a standstill for two years. We have determined that a plaintiff's dilatory conduct resulting in his case remaining stale for more than a year amounted to an unreasonable delay, and that "delay alone may result in presumed prejudice to the defendant."14

2. Aggravating Factors

¶ 25. The circuit court did not specifically make a finding regarding aggravating factors. "The aggravating factors include: (1) the extent to which the plaintiff, as distinguished from his counsel, was personally responsible for the delay; (2) the degree of actual prejudice to the defendant; and (3) whether the delay was the result of intentional conduct."15 At the hearing, the circuit court found that Manning was not represented by Felder during the two years her case sat at a standstill on the docket and that she was personally "playing games" in her litigation. Furthermore, the circuit court referred to Manning as a pro se plaintiff in its order. Manning continues to argue on appeal that she was not represented by counsel until Felder entered his appearance a few days before the hearing on KDMC's motion, and has not argued that anyone other than herself was personally responsible for the delay in her case. Therefore, we find that the record supports a determination that Manning — not her attorney — was personally responsible for the delay in her case and that the first aggravating factor is present.

¶ 26. The record does not reflect any actual prejudice to KDMC; thus, we find the second aggravating factor is not present. As to the third aggravating factor, the circuit court found that, at best, Manning failed to participate in the litigation she initiated and, at worst, took active measures through family members to avoid service of any type of document in this case. Manning argues that she did not intend to delay her case or absent herself from the litigation, but was forced to seek assistance from out-of-state relatives. We find that the record reflects that Manning knowingly and intentionally left the state and did not provide a forwarding address to receive correspondence related to the lawsuit she personally initiated. Therefore, we find that Manning intentionally failed to participate in her case for two years and, therefore, the third aggravating factor is present in this case.

C. Lesser Sanctions

¶ 27. We have held that "in determining whether the trial court abused its discretion when dismissing a case pursuant to Rule 41(b), we must consider whether lesser sanctions would better serve the interests of justice."16 "Lesser sanctions include `fines, costs, or damages against plaintiff or his counsel, attorney disciplinary measures, conditional dismissal, dismissal without prejudice, and explicit warnings.'"17 We have stated that, "[w]here there is no indication that the lower court considered any alternative sanctions to expedite the proceedings, appellate courts are less likely to uphold a Rule 41(b) dismissal."18

¶ 28. We have considered the fact that lesser sanctions were argued before the lower court and that the lower court considered all arguments prior to granting dismissal as factors showing that lesser sanctions were considered.19 In this case, the circuit court did not specifically address lesser sanctions in its order. However, at the hearing, Felder argued that the case should remain on the docket and that, if he did anything wrong, he should be personally sanctioned instead of the case being dismissed. Felder further argued that dismissal of Manning's case would be an extreme sanction. The circuit court recognized that it had to "decide if the games that [Manning] played are going to result in the ultimate sanction for her case." In its order, the circuit court found that, under the circumstances, dismissal with prejudice was the appropriate result. Therefore, the record shows that Manning urged the circuit court to adopt lesser sanctions and that the circuit court considered whether dismissal with prejudice was the appropriate sanction in this case.

¶ 29. We must now consider whether lesser sanctions would better serve the interests of justice in this case and find that they would not. As discussed above, the record clearly shows a two-year delay due to Manning's conduct and the presence of two of the three aggravating factors. We recently upheld a trial court's dismissal with prejudice of a case due to plaintiff's failure to respond to discovery or take any action in his case for more than a year.20 In Holder, a case in which no aggravating factors were present, we found that a less-than-two-year delay resulted in presumed prejudice to the defendant and that the delay alone was enough to support the trial court's decision to dismiss with prejudice.21 We find that Manning's behavior was more egregious than that of the plaintiff in Holder. Therefore, we find that lesser sanctions would not better serve the interests of justice in this case.

¶ 30. Justice Dickinson in dissent opines that the sanction of dismissal was inappropriate because "the defendant filed no motion to compel." But, to the contrary, our rules and precedent make clear that a motion to compel is not a prerequisite to a motion to dismiss when, as here, there is a total failure of a party to participate in discovery.22 The dissent's reliance on Caracci v. International Paper Co., 699 So.2d 546, 557 (Miss.1997), State Highway Commission v. Havard, 508 So.2d 1099, 1104 (Miss.1987), and Beck v. Sapet, 937 So.2d 945, 949-50 (Miss.2006), is misplaced, as all involve improper or incomplete discovery responses as opposed to a total failure to respond. Improper discovery responses are governed by Rule 37(a)(2) and necessitate a motion to compel. A total failure to respond to discovery is governed by Rule 37(d),23 which states that "[i]f a party ... fails ... to serve answers or objections to interrogatories submitted under Rule 33, after proper service of interrogatories ... the court in which the action is pending on motion may make such orders in regard to the failure as are just," including an order dismissing the action.24

CONCLUSION

¶ 31. For the foregoing reasons and considering our deferential standard of review in these cases, we find that the Circuit Court of Lincoln County did not abuse its discretion in dismissing Manning's case with prejudice. The judgment of the circuit court is affirmed.

¶ 32. AFFIRMED.

WALLER, C.J., RANDOLPH, P.J., PIERCE AND COLEMAN, JJ., CONCUR. DICKINSON, P.J., DISSENTS WITH SEPARATE WRITTEN OPINION JOINED BY CHANDLER, J. KITCHENS, J., DISSENTS WITH SEPARATE WRITTEN OPINION JOINED BY DICKINSON, P.J., AND KING, J.

DICKINSON, Presiding Justice, dissenting:

¶ 33. The majority affirms the trial court's dismissal of Manning's lawsuit because

¶ 34. The majority's concerns with this case are not altogether unreasonable. While I can not deny that Manning's behavior leading up to her filing this lawsuit, and beyond, was less than admirable, I am not prepared to agree that the sanction of dismissal of her lawsuit, with prejudice, was in accord with our rules or precedent. So I must respectfully dissent.

¶ 35. Two primary reasons compel this dissent. First, according to many of his statements at the hearing on the defendant's motion to dismiss, the trial judge clearly based his dismissal on his erroneous belief that "Mrs. Manning, through her inactions or her inability to give a valid address, she literally just stopped the litigation process for two years." In fact, Manning did no such thing. She provided an address. And according to Rule 5(b)(1) of the Mississippi Rules of Civil Procedure, to serve discovery requests upon Manning, the defendant had to do no more than to mail them to her at her "last known address, or if no address is known, by leaving [them] with the clerk of the court...."25

¶ 36. The defendant — who clearly and understandably was frustrated — states that it did so and, indeed, the record bears this out. But if our rules and precedent are to be followed, the defendant — after receiving no response — should have filed a motion to compel.26 Instead, the defendant chose to file a motion to dismiss. Our precedent and rules clearly and unambiguously require a motion to compel as a prerequisite to a sanction of dismissal for failure to respond to discovery.27

¶ 37. The majority's disagreement with me seems to stem from its view that a motion to compel should be required only for "improper or incomplete" discovery responses, and not for a failure to respond. This position is flawed for two reasons.

¶ 38. First, the trial court's sanction of dismissal was not based so much on Manning's failure to respond to discovery, as on her alleged failure to "provide an address where she could receive pleadings." But she did, in fact, provide an address that complied in every respect with Rule 5(b)(1).

¶ 39. But more importantly, the majority's views are in complete disagreement with this Court's holding in Beck v. Sapet, where the plaintiff failed to respond to discovery for nearly one year. We stated that the case "provides an excellent example of the proper way to document the efforts made to obtain and provide adequate discovery responses."28 We went on to state that "failure to make or cooperate in discovery should first be resolved by making a motion in the proper court requesting an order compelling such discovery."29 And "if the party fails to comply with this first order to compel, the trial judge may then sanction that party in accordance with M.R.C.P. 37(b), which includes dismissing the case with prejudice."30 Here, I find Manning's failure to respond to discovery only slightly more troublesome than this Court's occasional failure to follow consistently its own precedent by making unannounced changes in the application of rules.

¶ 40. The majority supports its position that no motion to compel is necessary by citing Palmer v. Biloxi Regional Medical Center, Inc. But in that case, the defendants filed a motion to compel, prior to seeking a motion to dismiss as a discovery sanction.31 The majority also relies on Owens v. Whitwell for the proposition that "[i]f a party totally fails to respond to an interrogatory or his response is of absolutely no substance, subsection (d) of § 13-1-237 requires no prior order before imposing sanctions."32 Section 13-1-237 was repealed, effective July 1, 1991, and no longer is the law, so Owens does not stand for the proposition the majority purports.

¶ 41. Because the trial judge based his dismissal on an incorrect belief that the plaintiff prevented the defendant from serving papers; and because the defendant filed no motion to compel, the sanction of dismissal of the lawsuit was inappropriate, so I respectfully dissent.

CHANDLER, J., JOINS THIS OPINION.

KITCHENS, Justice, dissenting:

¶ 42. Because dismissal with prejudice is an extreme sanction under the circumstances of Manning's case, and because lesser sanctions would better serve the interests of justice, I respectfully dissent.

¶ 43. According to this Court, "dismissal with prejudice is an extreme and harsh sanction that deprives a litigant of the opportunity to pursue his claim, and any dismissals with prejudice are reserved for the most egregious cases." Holder v. Orange Grove Med. Specialties, 54 So.3d 192, 197 (Miss.2010) (quoting Hoffman v. Paracelsus Health Care Corp., 752 So.2d 1030, 1034 (Miss.1999)). "A showing of delay or contumacious conduct is sufficient for a Rule 41(b) dismissal when a lesser sanction would not serve the best interests of justice." Id. (citing Am. Tel. & Tel. Co. v. Days Inn of Winona, 720 So.2d 178, 181 (Miss.1998)) (emphasis added).

¶ 44. This Court continued, "[dismissals with prejudice] are reserved for the most egregious of cases, usually cases where the requisite factors of clear delay and ineffective lesser sanctions are bolstered by the presence of at least one of the aggravating factors." Am. Tel. & Tel. Co., 720 So.2d at 181 (quoting Rogers v. Kroger Co., 669 F.2d 317, 320 (5th Cir.1982)) (emphasis added). And "[w]hile the requirements of a clear record of delay by the plaintiff and futile lesser sanctions have been articulated the most consistently, several other factors have been identified as `aggravating factors.'" Id. (citing Rogers, 669 F.2d at 320 n. 3) (emphasis added).

¶ 45. I have not wavered from my assertion in Holder that "[c]onsideration of lesser sanctions should consist of more than a passing, dismissive reference to a single option. Instead, the trial judge carefully should weigh all viable alternatives...." Holder, 54 So.3d at 202 (Kitchens, J., dissenting). The Holder majority referenced the following viable alternatives: "Lesser sanctions may include `fines, costs, or damages against plaintiff or his counsel, attorney disciplinary measures, conditional dismissal, dismissal without prejudice, and explicit warnings.'" Holder, 54 So.3d at 200 (quoting Am. Tel. & Tel. Co., 720 So.2d at 181).

¶ 46. With regard to the issue of consideration of lesser sanctions by the trial judge, Holder is virtually indistinguishable from the present case. There, when the trial judge asked the plaintiff's counsel what sanctions would be appropriate, and counsel indicated that a mere warning would be appropriate, the trial judge responded: "What's the purpose of a warning? Everybody is supposed to know the rules." Holder, 54 So.3d at 200. According to this Court, the circuit judge sufficiently "considered lesser sanctions in his holding." Id. So too, here, the majority states, "Felder argued that the case should remain on the docket and that, if he did anything wrong, he should be personally sanctioned instead of the case being dismissed." The majority continued, "Felder further argued that dismissal of Manning's case would be an extreme sanction." The majority then reasoned that the circuit court's duty with regard to a consideration of lesser sanctions was discharged when "Manning urged the circuit court to adopt lesser sanctions" and the court declined to do so. But, as in Holder, the circuit court in the present case considered only one of the viable alternatives to dismissal with prejudice.

¶ 47. In contrast, the circuit court in Hillman v. Weatherly "explicitly considered lesser sanctions, including fines, costs, or damages against Hillman or her counsel, attorney disciplinary measures, conditional dismissal, dismissal without prejudice, or explicit warnings." Hillman v. Weatherly, 14 So.3d 721, 728 (Miss.2009) (emphasis added). Similarly, in Cox v. Cox, "that lesser sanctions were argued before the chancellor, that the chancellor considered all arguments prior to granting dismissal, and that the chancellor denied [Plaintiff's] motion for reconsideration, in which [Plaintiff] argued that lesser sanctions had not been considered, is sufficient to show that lesser sanctions were considered and rejected." Cox v. Cox, 976 So.2d 869, 876 (Miss.2008) (emphasis added).

¶ 48. I declined to countenance the cursory analysis conducted in the lower court in Holder, and I decline to do so here. Approval of this approach permits our trial courts to deny litigants their day in court with a mere "passing, dismissive reference to a single option," rather than conducting a reasoned and objective weighing of all viable alternatives prior to dismissal with prejudice, the ultimate sanction. Holder, 54 So.3d at 202 (Kitchens, J., dissenting).

¶ 49. The majority cites Holder for the proposition that "a plaintiff's dilatory conduct resulting in his case remaining stale for more than a year amounted to an unreasonable delay, and that `delay alone may result in presumed prejudice to the defendant.'" See Holder, 54 So.3d at 200. In my dissenting opinion in Holder, I pointed out that the majority presumed prejudice without explanation, and the majority does likewise in the present case. Holder, 54 So.3d at 202 (Kitchens, J., dissenting). The Holder majority relied on Cox, where this Court found that, in a case delayed for want of prosecution by fourteen years, prejudice was presumed. Cox, 976 So.2d at 879 ("Given the length of time that has passed in this case, ... we find that [Defendant] is due some measure of presumed prejudice."). In Holder, I noted that the delay was just over one year, or 435 days. Holder, 54 So.3d at 202 (Kitchens, J., dissenting). Here, Manning filed her complaint on July 14, 2010, and responded to KDMC's Motion to Dismiss on August 3, 2012. The delay was just over two years, or 731 days. This 731-day delay is substantially shorter than the fourteen-year delay which the Cox Court reticently determined warranted a presumption of prejudice.

¶ 50. This Court also cites the Hillman case, in which we held that "the fact that a plaintiff's sole activity was reactionary ... supported a finding of a clear record of delay." Hillman, 14 So.3d at 727 (citing Hill v. Ramsey, 3 So.3d 120, 122 (Miss. 2009)). But there, Hillman was dilatory in responding to discovery for more than five years, and indeed "was personally responsible for spoliation of the evidence, because she did not disclose her prior medical history at her deposition, which prevented Weatherly from acquiring Hillman's medical records before their destruction." Id. at 727, 729. Though the record reflects that Manning may have been dilatory, her conduct cannot be said to rise to the level of misconduct manifested by Hillman-again, Manning's procrastination lasted for just over two years. Her conduct certainly cannot be said to warrant a dismissal with prejudice.33

¶ 51. Even if Manning should receive some kind of sanction for being dilatory, for not obtaining other counsel, or for being out of state trying to regain her health when she should have been at home answering interrogatories, I disagree that the ultimate sanction of dismissal with prejudice is warranted here. I would, therefore, reverse the judgment of the Circuit Court of Lincoln County and remand for a consideration of lesser sanctions. Accordingly, I respectfully dissent.

DICKINSON, P.J., AND KING, J., JOIN THIS OPINION.