In a harrowing escalation of Sudan’s ongoing conflict, gunmen affiliated with the Rapid Support Forces (RSF) launched a brutal attack on a hospital in the Darfur region, killing at least 460 people, according to the World Health Organization (WHO). The assault, which occurred in multiple waves, involved the abduction of medical staff and the indiscriminate killing of patients and civilians seeking refuge. This atrocity marks a grim milestone in the two-year war between the RSF and Sudan’s military, which has already claimed over 40,000 lives and displaced more than 14 million people. The fall of el-Fasher, the military’s last stronghold in Darfur, signals a new phase in the conflict, raising fears of further violence and humanitarian catastrophe. Survivors recount horrifying journeys to safety, while aid groups warn of widespread famine and disease outbreaks. The RSF, a paramilitary group with roots in the Janjaweed militia, has been accused of repeated mass killings and sexual violence, particularly targeting civilians of Central and East African ethnicities. As communications remain down in el-Fasher, the full scale of the devastation is yet to be uncovered.