More than 30 people have been killed after Israeli troops opened fire towards crowds of Palestinians waiting for aid, according to witnesses and hospital officials.
The deaths occurred near distribution hubs operated by the US-Israeli-backed Gaza Humanitarian Foundation (GHF), which began distributing food packages in Gaza at the end of May, after Israel eased its 11-week blockade of aid into the territory.
At least 32 people were killed on Saturday, according to the Hamas-run Gaza health ministry, while a further 100 people were injured, according to local reports.
Most of the deaths came as Palestinians massed in the Teina area, around 3km (2 miles) away from a GHF aid distribution centre east of the city of Khan Younis.
Mahmoud Mokeimar said he was walking with crowds of people - mostly young men - towards the food hub when troops fired warning shots as the crowd advanced, before opening fire towards the marching people.
"It was a massacre... the occupation opened fire at us indiscriminately," he said.
Akram Aker said troops fired machine guns mounted on tanks and drones.
"They encircled us and started firing directly at us," he said.
The Nasser Hospital in Khan Younis said it received 25 bodies, along with dozens of wounded.
Seven other people, including one woman, were killed in the Shakoush area, hundreds of yards north of another GHF hub in Gaza's southernmost city of Rafah, the hospital said.
The army and GHF did not immediately comment on Saturday's violence.
The GFH, which has four distribution centres, three of which are in the southern Gaza Strip, says it has distributed millions of meals to hungry Palestinians.
But local health officials and witnesses say hundreds of people have been killed by Israeli army fire as they try to reach the distribution hubs.
The GHF, which employs private armed guards, says there have been no deadly shootings at its sites, though this week, 20 people were killed at one of its locations, most of them in a stampede.
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The group accused Hamas agitators of causing a panic, but gave no evidence to back the claim.
The army, which is not at the sites but secures them from a distance, says it only fires warning shots if crowds get too close to its forces.
The 21-month war in Gaza was triggered when Hamas militants stormed into southern Israel on 7 October 2023, killing 1,200 people and taking 250 others hostage.
An Israeli military offensive has killed more than 58,000 Palestinians, according to the Gaza health ministry, while Gaza's more than two million Palestinians are living through a catastrophic humanitarian crisis.
Israel and Hamas have been holding ceasefire talks in Qatar in recent weeks, but international mediators say there have been no breakthroughs.
US President Donald Trump said another 10 hostages will be released from Gaza shortly, without providing details.
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