A defiant Sandusky gave a rambling statement in which he denied the allegations and talked about his life in prison and the pain of being away from his family.
Three victims spoke, often fighting back tears. One looked Sandusky in the eyes at times during his statement.
The 68-year-old former Penn State assistant coach was found guilty in June of 45 counts of child sexual abuse, convicted of molesting 10 boys over a 15-year period. Witnesses said Sandusky used the charitable organization he founded for troubled children as his personal hunting ground to find and groom boys to become his victims.
His arrest 11 months ago, and the details that came out during his trial over the summer, transformed Sandusky's public image from a college coach who had been widely admired for his work with The Second Mile charity into that of a reviled pervert who preyed on the very youngsters who sought his help.
Eight of the boys he was found guilty of molesting testified at his trial, describing a range of abuse that included fondling, oral sex and anal intercourse. One of the prosecution's star witnesses, former graduate assistant Mike McQueary, testified that he saw Sandusky raping a boy in a locker room shower.
Sandusky has consistently maintained his innocence and plans to appeal.
In a three-minute monologue aired Monday night by Penn State Com Radio that used some of the same language as his courtroom statement, Sandusky said he knows in his heart that he did not do what he called "these alleged disgusting acts" and described himself as the victim of Penn State, investigators, civil attorneys, the media and others.
His statement in court lasted 15 minutes.
Judge John Cleland sentenced him to 30 to 60 years in prison. Under Pennsylvania law, Sandusky cannot be released on parole before the minimum term is up.
"The tragedy of this crime is that it's a story of betrayal. The most obviously aspect is your betrayal of 10 children," Cleland said before the sentencing. "I'm not going to sentence you to centuries in prison, although the law will permit that." Still, Cleland said, he expected Sandusky to be in prison for the rest of his life.
The scandal brought devastation in State College that will take years to fully assess, as Sandusky's victims are pressing civil claims and a January trial is pending for Gary Schultz and Tim Curley, two university administrators charged with failing to properly report suspicions about Sandusky and lying to the grand jury that investigated him.
Soon after the three were arrested in November, the board of trustees fired Paterno, the school's most famous figure and a man who won two national college football championships in the 1980s. Paterno died of lung cancer in January.
Over the summer, an investigation commissioned by the university and led by former FBI Director Louis Freeh concluded that Paterno and other top officials covered up allegations against Sandusky for years to avoid bad publicity.
The scandal also toppled university President Graham Spanier and led to crippling NCAA sanctions against the football team that included a $60 million fine, a ban on postseason play and a reduction in the number of football scholarships the school can award. The NCAA also erased 14 years of victories for Paterno, stripping him of his standing as major college football's winningest coach.
At least four young men have sued Penn State over the way the university responded to disturbing complaints about Sandusky.
Eight legal teams representing at least 20 young men have surfaced, and the school recently announced an effort to settle as many claims as possible by the end of the year.