The carnage in the Sudanese city of El Fasher has become so severe that the blood stains can be seen from space.

The paramilitary Rapid Support Forces (RSF) — which attacked the capital of Khartoum two years ago, kicking off a brutal civil war — finally took over El Fasher last week. The RSF’s capture of the stronghold follows an 18-month siege that left some 150,000 people trapped in El Fasher, forcing them to live off of rainwater and animal feed. Amid a total communication blackout, satellite imagery and geolocated social media posts are among the only pieces of evidence available to stitch together a picture of the mass atrocities.

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