Sudan’s paramilitary forces systematically massacred 460 patients and companions at a hospital in el-Fasher, marking one of the most heinous war crimes in the ongoing conflict that has created the world’s worst humanitarian crisis.
Story Highlights
- RSF fighters executed 460 patients and companions at the Saudi Hospital in cold blood.
- Over 36,000 civilians fled el-Fasher after RSF seized the last government stronghold in Darfur.
- U.S. Senator Jim Risch demands that RSF be designated as a foreign terrorist organization.
- The two-year conflict has killed over 40,000 people and displaced 14 million Sudanese.
Mass Execution at Medical Facility
Rapid Support Forces fighters cold-bloodedly executed everyone inside the Saudi Hospital on October 28, 2025, according to World Health Organization Director-General Tedros Adhanom Ghebreyesus.
The Sudan Doctors Network reported that RSF fighters killed patients, their companions, and anyone present in the wards without mercy. Video footage shared by Darfur Governor Mini Minawi showed bodies lying in pools of blood, with one fighter shooting a sitting man who then collapsed.
Paramilitary rebels in Sudan have reportedly killed hundreds of people at a hospital in the city of el-Fasher in western Darfur.
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— ABC News (@ABC) October 30, 2025
Systematic Terror Campaign
RSF forces conducted house-to-house killings throughout el-Fasher, targeting women, children, and disabled individuals unable to flee. Witnesses described torture, sexual assault, and executions of detainees held in abandoned buildings near the hospital.
Yale School of Public Health’s Humanitarian Research Lab confirmed through satellite imagery that systematic killings occurred around multiple sites, including the Saudi Hospital and former Children’s Hospital detention center.
The paramilitary group built an eastern wall outside the city earlier this year, with satellite evidence showing mass killings near this fortification. Over 36,000 people have fled since Sunday, joining the 650,000 already displaced in nearby Tawila.
Survivors described scenes resembling “a killing field” with bodies scattered throughout streets and no medical assistance available.
WHO says over 460 people reportedly killed at a hospital taken by Sudanese paramilitary forces https://t.co/gpBUiUWe2k pic.twitter.com/cjL1qrB9wo
— The Independent (@Independent) October 29, 2025
Congressional Response and Strategic Implications
Senator Jim Risch, chairman of the Senate Foreign Relations Committee, denounced the RSF attacks and called for designating the group as a foreign terrorist organization.
The senator stated that RSF has committed genocide and unspeakable atrocities against the Sudanese people. This congressional pressure aligns with growing concerns that Sudan may fragment again, similar to South Sudan’s independence following civil war fifteen years ago.
Trump Administration Positioning
Massad Boulos, President Trump’s senior adviser on Arab and African affairs, condemned the deliberate targeting of vulnerable populations as abhorrent and unacceptable. Boulos emphasized that RSF leadership’s statements about civilian protection mean nothing without concrete actions to stop the suffering.
The Trump administration’s response demonstrates America’s commitment to confronting international terrorism and protecting innocent civilians from radical forces that operate with impunity.
The conflict has killed over 40,000 people in two years, though rights groups consider this a significant undercount.
With el-Fasher’s fall representing the army’s last stronghold in Darfur, the RSF now controls vast territories while continuing systematic atrocities against civilian populations who cannot defend themselves against heavily armed paramilitary forces.
