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How do drone strikes affect civilians in conflict zones?

Drone and air strikes have killed and injured civilians and left lasting psychological harm, hitting markets, camps, homes and hospitals.

Updated 57 minutes ago4 min readVersion 2
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Covers: Documented civilian harms from drone strikes in conflict zones, including deaths, injuries, displacement, psychological trauma, and community disruption, drawing on field investigations, human rights reporting, and academic research. It does not cover the legality of specific strikes, military targeting decisions, or classified operations.

Also answers: What happens to civilians in drone strikes? · Civilian impact of drone strikes in war zones · Drone strike civilian casualties and effects · How are civilians affected by military drones?

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Photo: Mohammed Ibrahim

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The short answer

Evidence-backed AI-prepared starting map

Drone and air strikes in conflict zones have caused documented civilian deaths, injuries, displacement and psychological harm. A strike on a gathering of displaced people near Sudan's Ethiopian border killed 41 people, including eight children (84de77aa). In Tigray, Ethiopia, 28.3% of 323 airstrike casualties were children and 45.1% of 516 casualties were female, with strikes hitting marketplaces, IDP camps, residential areas, playgrounds, churches and hospitals (1fd0c9e8). A model of injuries in Gaza found the greatest injury burden in air and shelling attacks, in densely populated urban areas, with 29,000-46,000 injuries predicted to need reconstructive surgery, over 80% from explosions (305e5cfd). Civilians in Lahore during the 2025 India-Pakistan conflict reported anxiety, hypervigilance, insomnia and psychosomatic symptoms driven partly by drone sightings (98d2671b).1234

What this rests on6 independent sources
  • Evidence 16

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In brief

  1. Drone and air strikes have killed and injured civilians in documented incidents, including 41 killed in a strike on displaced people in Sudan and high proportions of women and children among airstrike casualties in Tigray.12

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  2. Strikes have repeatedly hit civilian spaces — markets, IDP camps, homes, playgrounds, churches and hospitals — and the UN has called attacks on IDP camps a crime against humanity.2

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  3. In Gaza, air and shelling attacks in dense urban areas produced the greatest injury burden, with tens of thousands predicted to need reconstructive surgery, mostly from explosions.3

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  4. Even short, geographically limited conflicts can leave lasting psychological and social effects on civilians, including anxiety, insomnia, withdrawal from community life and psychosomatic symptoms.4

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  5. The psychological toll of drone warfare also affects military personnel, including operators, through remote killing, continuous surveillance and distinctive trauma exposure.5

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At a glance

The picture in numbers

Live · updated just now

Single rights-group report, not independently verified

41 people

People killed in a strike on displaced people in Sudan1
Single rights-group report, not independently verified

8 children

Children reported among the dead in that Sudan strike1234
Study of 323 child casualties in the Tigray war

28.3%

28 in every 100

of child airstrike casualties in Tigray who were children2
Study of 516 casualties in the Tigray war

45.1%

45 in every 100

of airstrike casualties in Tigray who were female2

The evidence behind it

6 sources
  • Reviews of many studies1
  • Other studies and data3
  • Background2

Published in 2025 and 2026

Sources on this page by kind and year
SourceKindYear
Drone strike by Sudan paramilitary kills 41 near Ethiopian border, rights group saysBackground2026
Application of unmanned aerial vehicles in modern battlefields and their impact on post-traumatic stress disorder in military personnel: A review.Reviews of many studies2026
A predictive, multi-source, attack-level model to quantify and characterize the injury burden and need for reconstructive surgery in Gaza.Other studies and data2026
Civilian death and injury from airstrikes: evidence from the war in Tigray, Ethiopia.Other studies and data2025
Exploring civilian minds and lives during the 2025 India-Pakistan conflict: a phenomenological study in Lahore, Pakistan.Other studies and data2026
Drone warfare (Wikipedia)BackgroundUnknown

The community around it

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What it means for you

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If you live in an area where drone strikes or airstrikes have occurred

the documented harms include death, injury, displacement and psychological effects such as anxiety, hypervigilance and insomnia, and strikes have hit markets, IDP camps, homes and hospitals.24

Evidence-backed

If you are supporting civilians during a conflict escalation

the Lahore study found an absence of civilian preparedness guidance amplified fear and uncertainty, and recommends mental health awareness, media literacy and community-level support within emergency response frameworks.4

Evidence-backed

If you are planning health or surgical capacity for a conflict-affected population

the Gaza model predicts a large and growing need for reconstructive surgery, over 80% from explosions, and states the burden will continue to grow without a cessation of hostilities.3

Evidence-backed

If you are assessing the mental health needs of military drone operators or ground troops

the PTSD review identifies moral dilemmas of remote killing, continuous surveillance tension and distinctive trauma patterns, and calls for targeted prevention and intervention.5

Evidence-backed

The full story · 3 chapters

01

Documented civilian deaths and injuries

AI summary:Reports from Sudan, Tigray and Gaza show strikes killing and injuring civilians, many of them women and children, often in everyday places.

Evidence-backed

Evidence-backed: A drone strike by Sudan's paramilitary forces near the Ethiopian border hit a gathering of displaced people, killing 41 people, with eight children reported among the dead (84de77aa). This is a single reported incident; the death toll comes from a rights group and has not been independently confirmed in the sources available here.1

Evidence-backed

Evidence-backed: In the war in Tigray, Ethiopia, airstrikes killed and injured civilians disproportionately. Of 323 child casualties, children made up 28.3% of victims; of 516 casualties, 45.1% were female, including pregnant and lactating women. Strikes occurred predominantly in civilian areas — marketplaces, IDP camps, residential areas, public transport, villages, children's playgrounds, churches, mills and hospitals. The study notes the UN has determined attacks on IDP camps to be a crime against humanity.2

Evidence-backed

Evidence-backed: A predictive model of injury burden in Gaza found injuries were greatest in air and shelling attacks, during periods of active movement of conflict, and in densely populated urban areas, especially before and after they were reduced to rubble. It predicted 29,000-46,000 injuries requiring reconstructive surgery, over 80% due to explosions, rising to 34,000-48,000 by May 2026. The model's predictions correlated with observed outcomes (ρ = 0.723 in training, ρ = 0.487 in testing), and the authors state the burden will keep growing without a cessation of hostilities.3

02

Psychological and social effects on civilians

AI summary:Civilians in Lahore reported anxiety, insomnia and physical symptoms, while a review describes distinct trauma in drone operators and troops.

Evidence-backed

Evidence-backed: Residents of Lahore during the 2025 India-Pakistan conflict described intense anxiety, hypervigilance and insomnia, driven by hybrid warfare tactics including misinformation, drone sightings and media sensationalism. Social life was disrupted through withdrawal from public, religious and communal activities. Many reported psychosomatic symptoms such as palpitations, gastrointestinal distress and stress-induced fever. Coping strategies included religious faith, family cohesion, humour and expressions of national solidarity. A prominent finding was the absence of civilian preparedness guidance, which amplified fear and uncertainty.4

Evidence-backed

Evidence-backed: A review of UAV warfare and PTSD among military personnel describes unique psychological stressors: the moral dilemmas of remote killing, persistent tension from continuous surveillance, and trauma exposure patterns that differ from traditional combat. It examines PTSD in both drone operators and ground troops affected by drone activity, and calls for targeted prevention and intervention strategies. This concerns military personnel rather than civilians, but it indicates the psychological reach of drone warfare extends beyond those directly attacked.5

03

What drones are and who uses them

AI summary:Drones are remote-controlled or partly autonomous military systems used by many nations as an expendable force multiplier.

Evidence-backed

Evidence-backed: Drone warfare uses military robots and unmanned systems, which may be remote-controlled or have varying levels of autonomy. Platforms include unmanned combat aerial vehicles, weaponised commercial drones, and unmanned surface, underwater and ground vehicles. As of 2019, nations identified as having operational UCAVs included China, France, Greece, India, Iran, Iraq, Israel, Italy, Pakistan, Poland, Russia, South Korea, Turkey, the United States, the United Kingdom and Ukraine. Drones are described as an expendable force multiplier that may supplement or reduce the need for live personnel.6

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What to remember

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  1. Drone and air strikes have killed and injured civilians in documented incidents, including killed in a strike on displaced people in Sudan and high proportions of women and children among airstrike casualties in Tigray.

  2. Strikes have repeatedly hit civilian spaces — markets, IDP camps, homes, playgrounds, churches and hospitals — and the UN has called attacks on IDP camps a crime against humanity.

  3. In Gaza, air and shelling attacks in dense urban areas produced the greatest injury burden, with tens of thousands predicted to need reconstructive surgery, mostly from explosions.

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  1. 1
    Drone strike by Sudan paramilitary kills 41 near Ethiopian border, rights group says
    BBC NewsPublished Oct 10, 2026Checked Oct 10, 2026
    “Eight children are said to be among those killed by the strike, which hit a gathering of displaced people.”
  2. 2
    Civilian death and injury from airstrikes: evidence from the war in Tigray, Ethiopia.
    Population health metrics (Gebregziabher et al.)Published Mar 14, 2025Checked Oct 10, 2026
    “Almost a third of the victims (28.3%, n = 323) were children aged 60 years (5.3%, n = 61). Almost half (45.1%, n = 516) of the causalities were female including pregnant and lactating women. The Southern and Northwest zones suffered the most casualties, followed by the Southeast zones and Mekelle. The airstrikes took place predominantly in civilian areas, including marketplaces, internally displaced persons (IDP) camps, residential areas, public transportation, villages, children's playgrounds, churches, mills and hospitals, resulting in numerous casualties that disproportionately affected civilians, especially children, the elderly and women.ConclusionsCivilians suffered significant death and injury from airstrikes during hostilities in the war in Tigray, including a high proportion of women and children. The most common targets were civilian facilities including IDP camps, which the United Nations has determined to be a crime against humanity. Enhanced collaboration between health and protection stakeholders can improve support to victims from immediate post-injury care as well as rehabilitation so that they can live as healthy, dignified, and productive citizens.”
  3. 3
    A predictive, multi-source, attack-level model to quantify and characterize the injury burden and need for reconstructive surgery in Gaza.
    EClinicalMedicine (Haravu et al.)Published Feb 18, 2026Checked Oct 10, 2026
    “Injuries were greatest in air and shelling attacks, during periods of actively moving conflict, and in densely populated areas, especially in urban settings before and after they were devastated to rubble. Of those injuries, 29,000-46,000 were predicted to require reconstructive surgery, with over 80% due to explosions, and rising to 34,000-48,000 by May 2026. Model predictions were correlated with observed outcomes, with Spearman's ρ = 0.723 (p = 7.06 × 10-30) in the training set and ρ = 0.487 (p = 3.99 × 10-23) in the testing set. Event rates: 75,982 reported injuries in training period; 2523 injuries in validation period; 41,202 injuries in testing period.InterpretationTo our knowledge this is the first predictive model to forecast the injury burden in Gaza based on attack characteristics using granular multi-source data. Our findings corroborate figures published by the Gaza MoH and demonstrate that the burden will continue to grow without cessation of hostilities, further exacerbating reconstructive surgical need.FundingBass Connections grant, Duke University.”
  4. 4
    Exploring civilian minds and lives during the 2025 India-Pakistan conflict: a phenomenological study in Lahore, Pakistan.
    BMJ open (Saleem et al.)Published Feb 19, 2026Checked Oct 10, 2026
    “Participants reported intense anxiety, hypervigilance and insomnia driven by hybrid warfare tactics, including misinformation, drone sightings and media sensationalism. Social life was disrupted through withdrawal from public, religious and communal activities. Coping strategies included religious faith, family cohesion, humour and expressions of national solidarity. Notably, many participants experienced psychosomatic symptoms such as palpitations, gastrointestinal distress and stress-induced fever. A prominent finding was the absence of civilian preparedness guidance, which amplified fear and uncertainty during the escalation.ConclusionThe conflicts, although short lived and geographical restrained, casts a long psychological and social on civilians, marked by fear, uncertainty, social disruption and dissatisfaction with institutional preparedness. While some coping and resilience were evident, the findings highlight the need to strengthen civilian-focused public health responses during periods of conflict escalation, including mental health awareness, media literacy and community-level support within Pakistan's emergency response frameworks.”
  5. 5
    Application of unmanned aerial vehicles in modern battlefields and their impact on post-traumatic stress disorder in military personnel: A review.
    General psychiatry (Xue et al.)Published Aug 27, 2026Checked Oct 10, 2026
    “This review systematically examines the primary applications of UAVs on the battlefield and explores the complex relationship between UAV warfare and post-traumatic stress disorder (PTSD) among military personnel. It analyses the unique psychological stressors associated with UAV operations, such as the moral dilemmas of remote killing, the persistent tension from continuous surveillance and trauma exposure patterns that differ from those in traditional combat. By integrating recent advances in molecular biology, neuroimaging and clinical psychology, this review highlights the epidemiological characteristics, neurobiological mechanisms, clinical manifestations and treatment challenges of PTSD in both UAV operators and ground troops affected by UAV activities. By providing a comprehensive perspective on the mental health issues stemming from this novel mode of warfare, this article aims to inform the development of targeted prevention and intervention strategies to better support the psychological resilience of military personnel in the era of unmanned combat.”
  6. 6
    Drone warfare (Wikipedia)
    WikipediaPublished Oct 6, 2026Checked Oct 10, 2026
    “Drone warfare is the use of military robots and unmanned systems in warfare. The unmanned systems may be remote controlled by a pilot or have varying levels of autonomy during their mission. Types of unmanned systems and platforms include unmanned combat aerial vehicles (UCAV) or weaponized commercial unmanned aerial vehicles (UAV), unmanned surface vehicles (USV) or unmanned underwater vehicles (UUV), and unmanned ground vehicles (UGV). SUAVs and MAVs are man-portable UAVs and can be deployed for low-altitude, short-range support operations. Autonomous drones such as autonomous aircraft and LAWS utilize artificial intelligence or pre-programmed algorithms. As of 2019, the following nations have been identified as having operational UCAVs: China, France, Greece, India, Iran, Iraq, Israel, Italy, Pakistan, Poland, Russia, South Korea, Turkey, the United States, the United Kingdom, and Ukraine. Drones are an expendable force multiplier that may supplement–or reduce the necessity for–live personnel during operations.”

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  • What are the verified total numbers of civilians killed and injured by drone strikes specifically, as distinct from airstrikes and shelling more broadly?

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  • What are the long-term mental health outcomes for civilians living under sustained drone surveillance and strike risk, beyond the short conflict studied in Lahore?

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  • How much displacement is directly attributable to drone strikes, as opposed to other forms of attack?

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  • What civilian preparedness and mental health support measures have been shown to reduce fear and uncertainty during drone-related escalation?

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