KHAN YOUNIS, Gaza Strip — Israeli strikes and gunfire killed at least 33 Palestinians in Gaza on Saturday, including people sheltering in tents or seeking scarce food, local hospitals said as a famine in Gaza’s largest city sparks new pressure on Israel over its 22-month offensive.

American doctor working in Gaza City says he'll leave famine declaration to experts, but says 'degree of weight loss, post-operative complications and starvation' is clear

Defense Minister Israel Katz said that if Hamas refuses to release all Israeli hostages and disarm, the IDF will destroy Gaza City

Gaza City and surrounding areas are officially suffering from famine, and it will likely spread, a global hunger monitor determined on Friday, an assessment that will escalate pressure on Israel to allow more aid into the Palestinian territory.

Famine has been determined in Gaza Governorate, where Gaza City is located, according to a warning issued Friday by the Integrated Food Security Phase Classification (IPC).The report from IPC -- a global initiative monitoring hunger with the backing of governments,

Conditions in Gaza City are expected to worsen and, while a ceasefire could come, so could a huge military assault.

Israeli Prime Minister Benjamin Netanyahu said Thursday he will give final approval for the takeover of Gaza City while also restarting negotiations with Hamas aimed at returning all the remaining hostages and ending the war on Israel’s terms.

Israeli Defense Minister Israel Katz warned that Gaza city could "turn into Rafah and Beit Hanoun" unless Hamas agrees to Israel's terms.