A motorist has died after his van plunged 30ft off a bridge on to the M42 below at Coleshill in Warwickshire.
The 35-year-old, from Shard End, was thrown from his Nissan van after it careered off the A452 – landing on the M42 between junction 7 and 6.
The crashed van then struck a car and a lorry.
The man, who has not been named, suffered severe head, chest and abdominal injuries in the incident, which happened at 1.45pm on Monday.
He died shortly before 7pm while undergoing emergency surgery at Walsgrave Hospital in Coventry. His family were at the hospital when he died.
Traffic officers continue to investigate, but it is believed the deceased man lost control of his Nissan Cabstar van at a traffic island, before crashing through safety barriers.
Drivers faced long delays on the stretch of the M42.
The van driver was tended to by other motorists and paramedics on the motorway before being taken to hospital.
The Warwickshire and Northamptonshire Air Ambulance attended the scene, landing on the carriageway.
Sergeant David Lawrence, from the West Midlands Police Collision Investigation Unit, said: “I would like to thank those members of the public who demonstrated great courage by assisting the casualty at the scene of the collision, and those drivers who demonstrated great patience when unable to continue their journey for a significant period of time.
“Our thoughts remain with the family and friends of the driver.”
Two men travelling in the lorry were treated for shock and minor injuries, while a man from the car suffered back pain in the collision.
The southbound carriageway between junction 7 and 6 was closed for more than four hours while a forensic examination of the scene took place and the vehicles were recovered.
One lane on the northbound carriageway was also closed.
Maintenance workers had to cut through the central barrier so southbound traffic could join the northbound carriageway.
Several emergency crews were sent to the scene, including the Warwickshire and Northamptonshire Air Ambulance, which landed on the carriageway.
Colin Deery, Watch Commander of Solihull Fire Station, said: ‘‘In over 20 years in the fire service, I’ve never seen anything like it. There was absolute carnage on the motorway.
“We had to reverse the wrong way down the motorway to get to the incident.’’