In the besieged city of el-Fasher, Sudan, a profound humanitarian crisis unfolds as residents confront unimaginable suffering amid escalating conflict. Women at a communal kitchen express their anguish, saying, "Our children are dying before our eyes." With food scarcity gripping the city, prices have surged, making it impossible for families to afford basic meals, with what once sustained them for a week now barely feeding them for a day.

International aid agencies have condemned the calculated use of starvation as a tactic of war, highlighting the dire hunger crisis exacerbated by rampant cholera outbreaks in camps for the displaced. Doctors Without Borders reports nearly 100,000 cases of cholera this year, adding to the toll of a war-torn landscape where families struggle to survive.

The heart of the conflict lies in two years of brutal fighting between the Sudanese army and the paramilitary Rapid Support Forces (RSF), who have tightened their blockade around el-Fasher as they battle for control. The situation intensified earlier this week with one of the heaviest attacks on the city, forcing residents deeper into desperation.

Filmmakers risk their safety to share footage of the city's plight, capturing harrowing scenes of families scavenging for food. With a lack of flour and bread, the communal kitchen relies on unlikely provisions, such as ambaz, a shell of peanuts typically meant for animal feed. "Now we've reached the point of eating ambaz," laments the kitchen manager, underscoring the catastrophic circumstances.

UN agencies urgently appeal for a humanitarian pause to allow food aid to reach el-Fasher, but obstacles remain as RSF has expressed concerns about potential military uses of any truce. They maintain that they have not engaged in targeting civilians, alleging that local armed groups utilize civilians as shields.

Local health facilities are overwhelmed, with many hospitals damaged and lacking sufficient medical supplies. Health officials report alarming malnutrition levels among children. "They are just waiting for their death," says Dr. Ibrahim Abdullah Khater, describing the fate of severely malnourished patients in his care.

As humanitarian crises deepen, reports reveal that those most at risk are often the most vulnerable: the children, the sick, and those lacking fundamental necessities. International NGOs have stressed the urgency for the world to take notice, stating that sustained assaults and obstruction of aid represent a deliberate strategy to undermine the civilian population through fear and deprivation.

Fleeing the city remains perilous, with accounts of violence and extortion plaguing the journey. Those who reach relative safety in camps face a new battle against cholera, worsened by inadequate access to clean water and medical care.

Zubaida Ismail Ishaq, a pregnant woman enduring severe trauma, remains emblematic of the resilience amid despair. She recounts how her family has been shattered and expresses the urgent need for clean resources.

In el-Fasher, desperate appeals for aid resonate as communities unite to confront the siege. "We're exhausted. We want this siege lifted," pleads Faiza Abkar Mohammed, voicing the collective call for relief that underscores the human resilience amidst unrelenting adversity.