Three women died and two were seriously injured in a three-vehicle collision on a Worcestershire road yesterday.
The five women were travelling in a Vauxhall Vectra when it collided with another car and a van near Ryall.
Two women, both rear seat passengers, died at the scene. Three others, including the driver, were taken by air ambulance to Selly Oak Hospital in Birmingham suffering life-threatening injuries.
One of them - the front seat passenger - died a few hours later.
An eye-witness travelling just a few cars behind the accident described hearing a "terrific bang".
Josephine Bradley, aged 53 from Ryall, said: "All the traffic slowed down and it didn't look very good. The car was squashed right up at the front. There were bits of car everywhere. It was very traumatic to see."
The driver and a fourth passenger remained in hospital last night, West Mercia Police said.
The collision took place at 1.30pm on the A4104 between Upton-upon-Severn and Ryall.
The driver of a Ford Transit, which was travelling in the opposite direction to the Vauxhall, was arrested at the scene.
The driver of a Citroen C4, travelling in the same direction as the Vauxhall, escaped injury.
Sam Peoples, aged 38, the landlord of the Horse and Groom Pub in Ryall, which is just half-a-mile from the scene of the crash, said the area was not known as an accident black spot.
He added: "I have lived here all my life. Other than a death on a motorcycle seven years ago, I can't remember any other fatal deaths around Upton on the roads."
Eric Haynes, aged 54, from Ryall, who also passed the scene, added: "I believe they were old ladies. I know the air ambulance came three times to pick people up. There were ambulances, loads of police cars and fire engines."