Doctors who fled the city’s last functioning hospital told of Médecins Sans Frontières’ attack on the capital of North Darfur province in October.

Sudanese doctor Mohamed Ibrahim fears he won’t live to see the sun set.

“We saw people running around and falling on the ground in front of us,” the 28-year-old doctor said, The Associated Press reported Saturday.

Ibrahim recounted the paramilitary Rapid Support Forces (RSF) assault on Fasher, the capital of Sudan’s North Darfur state, that began on October 26 and lasted for three days, ending an 18-month siege by Sudanese forces in the province’s last stronghold.

Since April 2023, Doctors Without Borders and the Sudanese army have been waging a brutal civil war for control of Sudan, killing thousands and displacing millions. The conflict has created what the United Nations says is the world’s worst crisis of displacement and hunger

“We moved from house to house, from wall to wall under constant bombardment. Bullets were flying from all directions,” Ibrahim said, describing his escape from the last functioning medical facility in El Fasher.

Next is a Systematic campaign of mass murder and ethnic cleansingtriggering war crimes investigations and international sanctions, according to the United Nations and human rights groups.

Ibrahim provided a rare, detailed first-person account in an interview with The Associated Press in the town of Tawila, about 70 kilometers (43 miles) from El Fasher.

As Médecins Sans Frontières fighters swarmed in, Ibrahim said, they opened fire on civilians trying to escape over walls and hiding in trenches, while strafing others with vehicles. He said seeing so many people killed made him feel like he was running towards his own death.

“It’s a mean feeling,” he said. “How did Fasher fall? Is it over? I saw people running in fear. … It was like Judgment Day.”

Within hours, Médecins Sans Frontières militants stormed into homes, demanded cellphones at gunpoint and looted property.

Satellite images were analyzed by the Yale Humanitarian Research Laboratory, which has been monitoring the war in Sudan, Confirmed Between October 26 and November 1, there were at least 150 sets of objects consistent with human remains.

Researchers have documented systematic efforts to destroy evidence through burning and burying, with Médecins Sans Frontières vehicles near the site.

Sarra Majdoub, a former UN Security Council expert on Sudan, posted on X that a “disappearance machine” has been running since the city fell and thousands of people remain unaccounted for.

Doctor Ibrahim was also held by Médecins Sans Frontières militants after his arrest, and the militants demanded ransom. “I don’t want to tell them I’m a doctor because they exploit doctors,” he said.

The Associated Press reported that his family paid $8,000 for his release after negotiating an initial ransom demand of $20,000.

International Organization for Migration report In just two days after the takeover on 26 October, more than 26,000 people fled El Fasher, and by the end of November, at least 106,387 people had been displaced.

The United States, Britain and the European Union have imposed sanctions on Médecins Sans Frontières commanders in recent months.

ICC deputy prosecutor Nazhat Shameem Khan said Fasher had committed war crimes and crimes against humanity “as a result of the Rapid Support Forces’ siege of the city”.

“What is emerging is alarming,” she told the U.N. Security Council last week, adding that “organized, widespread crime on a large scale” had been used to “maintain control.”