The foreign ministers of Germany, Jordan, and the United Kingdom on Saturday called for an immediate ceasefire in Sudan, warning of a worsening humanitarian crisis after a paramilitary force seized the last major city in Darfur.

At the Manama Dialogue security summit in Bahrain, British Foreign Secretary Yvette Cooper described the situation in el-Fasher as “truly horrifying,” citing mass killings, starvation, and sexual violence against civilians, particularly women and children. She stressed that “no amount of aid can resolve a crisis of this magnitude until the guns fall silent.”

German Foreign Minister Johann Wadephul described Sudan’s situation as “absolutely apocalyptic” and directly condemned the violence by the Rapid Support Forces (RSF) in el-Fasher. Jordan’s Foreign Minister Ayman Safadi echoed the concern, saying Sudan has not received the international attention it deserves and calling the crisis “of inhumane proportions.”

United Nations officials reported that RSF fighters have killed more than 450 people at a hospital in el-Fasher, with reports of ethnically targeted killings and sexual assaults. While the RSF has denied responsibility, survivor accounts, satellite images, and social media videos indicate widespread violence in the city.

The ministers’ statements come amid rising international concern over the conflict in Sudan, which has escalated into one of the largest humanitarian crises of the 21st century.

Earlier this week, Bahrain revoked The Associated Press’s accreditation to cover the summit, following a story on the hunger strike of long-detained activist Abdulhadi al-Khawaja. Al-Khawaja ended the strike after receiving letters from the European Union and Denmark, his daughter Maryam said.