A truce between warring Sudanese generals hung by a thread as the army pounded paramilitaries in the capital Khartoum with airstrikes Thursday.
There were also reports of deadly fighting in Darfur as the clock ticked down on the fragile U.S.-brokered cease-fire on its final full day.
Late Wednesday, the army said it had agreed to talks in Juba, the capital of neighboring South Sudan, on extending the three-day truce which expires on Friday "at the initiative of IGAD", the East African regional bloc.
There have been multiple truce efforts since fighting broke out on April 15 between Sudan's regular army led by General Abdel Fattah al-Burhan and the paramilitary Rapid Support Forces (RSF) commanded by his deputy-turned-rival, Mohamed Hamdan Daglo. All have failed.
The fighting has continued despite the U.S.-brokered cease-fire that took effect Tuesday, with warplanes patroling the skies over the capital's northern suburbs as fighters on the ground have exchanged artillery and heavy machine gun fire, witnesses said.
Burhan agreed Wednesday to the IGAD proposal for talks on extending the truce by a further 72 hours, the army added.
The RSF's response to the proposal remains unclear.
At least 512 people have been killed and 4,193 wounded in the fighting, according to Health Ministry figures, although the real death toll is likely much higher.
The doctors' union said at least eight civilians had been killed in Khartoum alone Wednesday despite the truce.
More than two-thirds of hospitals in the country were out of service, the union said Thursday, including 14 that had been struck during the fighting.
Beyond the capital, fighting has flared in the provinces, particularly in the war-torn western region of Darfur.
Clashes between the army and the RSF raged for a second day in the West Darfur capital Geneina, witnesses said, adding that civilians were seen fleeing to the nearby border with Chad.
On Wednesday, the United Nations humanitarian agency reported killings, looting and arson in Geneina.
"An estimated 50,000 acutely malnourished children have had nutrition support disrupted due to the fighting," it added in a statement.
The Sudanese crisis has trapped many civilians in their homes, where they have endured severe shortages of food, water and electricity.
The U.N. has warned that as many as 270,000 people could flee into Sudan's poorer neighbors South Sudan and Chad.
Other Sudanese have sought refuge in Egypt to the north and Ethiopia to the east, but both entail long and potentially dangerous journeys overland.
Speaking at the Egyptian border, 50-year-old refugee Ashraf called on the warring sides to "end the war ... because this is your own conflict, not that of the Sudanese people."
In Port Sudan on the Red Sea coast, Syrian evacuee Khalil Ibrahim told AFP: "We just want to get away from this war."
Cambridge University academic Sharath Srinivasan warned the mass movement of people across Sudan's borders threatened to destabilize already fragile governments in neighboring countries.
"If the armed confrontation between these two forces protracts – or worse, if it draws in other armed rebel groups across the country – this could quickly become one of the worst humanitarian crises in the region and risk spilling over," he told U.S. news outlet Politico.
Foreign governments have taken advantage of the fragile truce to organize road convoys, aircraft and ships to get thousands of their citizens out but some have warned their evacuation efforts are dependent on the lull in fighting holding.
A Saudi evacuation ship docked in the Red Sea port of Jeddah Thursday carrying 187 Sudan evacuees from 25 countries, including the United States, Russia and Türkiye, the Saudi Foreign Ministry said.
It was the eighth such crossing organized by the Saudi authorities since the start of the fighting and took the total evacuated to the kingdom so far to 2,544, only 119 of them Saudis, the ministry said.
As lawlessness has gripped Sudan, there have been several jailbreaks, including from the high-security Kober prison where top aides of ousted leader Omar al-Bashir were held.
Among those who have escaped is Ahmed Haroun, wanted by the International Criminal Court for war crimes and crimes against humanity for his role in the 2003 Darfur conflict.
Haroun's escape sparked fears of the involvement of al-Bashir loyalists in the ongoing fighting.
The army said the ousted leader was not among those who escaped but had been moved to a military hospital before the fighting erupted.
Daglo's RSF emerged from the Janjaweed militia, accused of carrying out atrocities against civilians during Bashir's brutal suppression of ethnic minority rebels in Darfur in the mid-2000s.
Bashir was toppled by the military in April 2019 following civilian mass protests that raised hopes for a transition to democracy.
The two generals had together seized power in a 2021 coup, but later fell out, most recently over the planned integration of the RSF into the regular army.
