Su­dan’s para­mil­i­tary forces killed hun­dreds of peo­ple at a hos­pi­tal, in­clud­ing pa­tients, af­ter they seized the provin­cial cap­i­tal of North Dar­fur over the week­end, ac­cord­ing to the U.N., dis­placed res­i­dents and aid work­ers, who de­scribed har­row­ing de­tails of atroc­i­ties.

The 460 pa­tients and their com­pan­ions were re­port­ed­ly killed Tues­day at Sau­di Hos­pi­tal by fight­ers from the Rapid Sup­port Forces in the city of el-Fash­er, said Tedros Ad­hanom Ghe­breye­sus, di­rec­tor gen­er­al of the World Health Or­ga­ni­za­tion.

As part of their as­sault on el-Fash­er, RSF fight­ers al­so went from house to house, beat­ing and shoot­ing at peo­ple, in­clud­ing women and chil­dren, wit­ness­es told The As­so­ci­at­ed Press. Many died of gun­shot wounds in the streets, some while try­ing to flee to safe­ty, wit­ness­es said.