Twenty-one months into Israel’s war in Gaza, the enclave is gripped by escalating scenes of death and hunger, with some killed while trying to reach aid, others dying of starvation and growing condemnation of Israel’s conduct even among many of its closest allies.

Two months ago, a coalition of aid groups warned that Israel’s war on Gaza—and restrictions on food entering the strip—would cause mass starvation in Gaza imminently. Now, it has arrived, according to officials and aid groups.