If confirmed, the death toll would be among the highest for a single Israeli air strike since 2008.

The attack on the al-Ahli Arab Hospital quickly sparked international condemnation, as news outlets and social media became filled with images of burning rooms and heavy stretchers.

“This is outrageous and again it shows a flagrant disregard for the lives of civilians,” the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) said on social media.

Jordan’s King Abdullah II, meanwhile, called the attack a “massacre” and a “shame on humanity”.

The Gaza health ministry issued a statement explaining the hospital had served a vital role in offering shelter to civilians.

“The hospital was housing hundreds of sick and wounded, and people forcibly displaced from their homes,” the ministry said.

Tens of thousands of families have flocked to Gaza’s overwhelmed hospitals seeking refuge from seemingly endless Israeli army shelling.

Al Jazeera footage from the scene showed medics and civilians recovering bodies with white bags or blankets. Bloodstains and multiple torched cars were visible in the darkened hospital courtyard.

Mustafa Barghouti, leader of the Palestinian National Initiative (PNI) political party, told Al Jazeera that the hospital attack should prompt world leaders to question their support for Israel.

“Nobody in the world even attacks hospitals in any other country of the world,” Barghouti said. “Will they condemn this Israeli massacre? Will they condemn this Israeli behaviour? They know they can stop Israel. They know they can restrain Israel. They are the ones who are giving weapons and money and support to these Israeli aggressors.”

He added that he felt civilian infrastructure was being deliberately targeted in Israeli attacks.

Around 3,000 people have been killed in Israeli air strikes across the Gaza Strip since the war erupted on October 7.