In the third and last presidential debate, the Republican presidential nominee Donald Trump refused to say, that he would accept the outcome of the November 8 US presidential election, leaving open the possibility he would challenge the ultimate outcome.

Trump said he would wait to decide whether the outcome was legitimate in the final presidential debate with Democratic rival Hillary Clinton.

"I will tell you at the time, I will keep you in suspense," Trump said.

Clinton responded: "Let's be clear about what he is saying and what that means: He is denigrating, he is talking down our democracy and I for one am appalled that someone who is the nominee for one of our two major parties would take that position."

Trump said all of the stories were "totally false" and suggested Clinton was behind the charges. He called her campaign "sleazy."

"I think they either want fame or her campaign did it, and I think it's her campaign," Trump said.

"Donald thinks belittling women makes him bigger. He goes after their dignity, their self-worth and I don't think there is a woman anywhere who doesn't know what that feels like," Clinton said.

"This is a pattern. A pattern of divisiveness, of a very dark and in many ways dangerous vision of our country where he incites violence, where he applauds people who are pushing and pulling and punching at his rallies. That is not who America is," she said.

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Nandini