After el-Fasher falls, reports say 460 were killed in a hospital and a US genocide finding looms as the RSF cements a revenue-backed proto-state in Darfur.
Sseema Giill
The Rapid Support Forces (RSF) have seized el-Fasher, the last government-held capital in Darfur, after an 18-month siege—an inflection point linked to mass killings, hospital atrocities, and door-to-door executions targeting non-Arab communities. The World Health Organization reported more than 460 people killed inside Saudi Maternity Hospital on October 28. The United States previously determined that RSF forces committed genocide in Darfur. This is not just a battlefield shift; it’s the consolidation of a revenue-backed proto-state that monetizes territory, minerals, and terror.
Independent satellite analysis and eyewitness testimony describe execution-style killings, mass burials, and attacks on healthcare sites as RSF fighters moved through el-Fasher. Analysts reported clusters of body-sized objects, ground discoloration consistent with blood pools, and trench lines along the city perimeter after the takeover, while medical groups reported hundreds killed at the hospital.
After losing ground around Khartoum earlier this year, RSF concentrated firepower in Darfur, tightening an 18-month siege on el-Fasher before overrunning the city in late October. The fall deepens Sudan’s de facto partition by entrenching RSF control across most of western Sudan—coming after diplomatic efforts faltered and UN officials warned civilians faced catastrophic risk.
The RSF operates as a criminalized governance system, fusing extractive revenues, smuggling routes, and external arms supply into a self-financing war economy. In this model, massacres are not breakdowns of command; they are instruments of territorial control that clear populations, seize resources, and deter return—backed by drones, logistics, and cashflow.
Did el-Fasher fall to the RSF?
Yes. Multiple reports confirm the city fell after prolonged siege operations, marking a decisive shift in Darfur.
Were patients killed inside a hospital?
Yes. Health authorities reported more than 460 patients and companions killed at Saudi Maternity Hospital on October 28, with abductions of health workers also reported.
Has any government called this genocide?
Yes. In early January 2025, the United States determined RSF forces and allied militias committed genocide in Darfur and announced sanctions on RSF leadership.
Is there satellite evidence of mass killings?
Yes. Academic and non-governmental labs analyzing commercial imagery reported likely bodies, blood-pool discoloration, and perimeter trenches after the RSF advance.
What does this mean for civilians now?
Expect further displacement, barriers to aid, and elevated risk of targeted ethnic violence as control changes hands.
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