On 17 October 2023, a devastating explosion took place in the car park of the al-Ahli Hospital in Gaza City. The Gaza Health Ministry reported that 471 people were killed and 342 injured, with US intelligence agencies estimating between 100 and 300 casualties.

The trajectory shows the missile was launched from outside Gaza, near to a known Israeli missile launch site that is part of its ‘Iron Dome’ air defence system. The shape of the missile’s trajectory, turning twice in mid-air, again suggests that this is a guided Israeli interceptor, rather than a Palestinian rocket which would follow the arc of a ballistic trajectory.