Israel on Saturday carried out its largest hostage rescue operation since the latest war with Hamas began, taking four to safety out of central Gaza amid the military's heavy air and ground assault.
At least 210 dead Palestinians, including children, were brought to local hospitals, a health official said.
Israelis were jubilant as the army said it freed Noa Argamani, 26; Almog Meir Jan, 22; Andrey Kozlov, 27; and Shlomi Ziv, 41, in a daytime operation in the heart of Nuseirat, raiding two locations at once while under fire.
All were well, the military said. They were taken by helicopter for medical checks and tearful reunions with loved ones after 246 days held.
Argamani had been one of the most widely recognised hostages after being taken, like the three others, from a music festival.
The video of her abduction showed her seated between two men on a motorcycle as she screamed, "Don't kill me!"
Her mother, Liora, has brain cancer and had released a video pleading to see her daughter.
Israel's Channel 13 said Argamani was moved to the hospital where her mother is treated.
In a message released by the government, Argamani told Prime Minister Benjamin Netanyahu she was "very excited", saying she hadn't heard Hebrew in so long.
Netanyahu in a statement vowed to continue the fighting until all hostages are freed. The operation was "daring in nature, planned brilliantly, and executed in an extraordinary fashion", Defense Minister Yoav Gallant said.
Israeli aircraft hummed overhead as the bodies of 109 Palestinians including 23 children and 11 women were taken to Al-Aqsa Martyrs Hospital, where spokesperson Khalil Degran told The Associated Press more than 100 wounded also arrived.
He said that overall, 210 dead had been taken there and to Al-Awda Hospital, saying he had spoken to the director there. Al-Awda's numbers couldn't immediately be confirmed.
AP reporters saw dozens of bodies brought from the Nuseirat and Deir al-Balah areas, as smoke rose in the distance and armored vehicles rolled by.
A baby was among the dead. Small children wailed, covered in blood. Bodies were placed on the ground outside, their feet bare, as more wounded were rushed in.
"My two cousins were killed, and two other cousins were seriously injured. They did not commit any sin. They were sitting at home," one relative said in the chaos.
As Palestinians explored the newly destroyed buildings, a small child sat on a collapsed metal door, overwhelmed.
Neighbouring Egypt condemned "with the strongest terms" Israel's attacks on the Nuseirat refugee camp, with its foreign ministry calling it a "flagrant violation of all rules of international law". Neighbouring Jordan also condemned it.
"The bloodbath must end immediately," the European Union's foreign policy chief Josep Borrell said on the social platform X, noting reports of civilian deaths.
Israel's military said it had attacked "threats to our forces in the area," adding that one commando died from his wounds.
Israel's Channel 12 said the rescue force went into the heavily populated Nuseirat camp and burst into the two apartments where the hostages were, killing the captors.
One getaway vehicle was shot and they came under heavy fire. Additional forces moved in to rescue them, and Israel used heavy fire to get them out.
A US hostage cell provided advice and support throughout the process of locating and rescuing the hostages, according to a Biden administration official, who was not authorised to comment and requested anonymity.
The hostage cells are multi-agency teams.
Hamas took some 250 hostages during the October 7 attack that killed about 1200 people.
About half were released in a weeklong cease-fire in November.
About 120 hostages remain, with 43 pronounced dead. Survivors include about 15 women, two children under 5 and two men in their 80s.
Saturday's operation brought the total number of rescued hostages to seven. Two were freed in February and one was freed in the aftermath of the October attack. Israeli troops have recovered the bodies of at least 16 others, according to the government.
The latest rescue lifted some spirits in Israel as divisions deepen over the best way to bring hostages home. Many Israelis urge Netanyahu to embrace a cease-fire deal US President Joe Biden announced last month, but far-right allies threaten to collapse his government if he does.
Netanyahu, whose support has fallen, rushed to the hospital to greet the freed hostages. But thousands of Israelis again gathered on Saturday evening for the latest anti-government demonstration and calls for a cease-fire agreement.
"It's time to pay the price of a political deal. One deal that will bring them all back without risking soldiers," said Omri Shtivi, whose brother Idan marked his 29th birthday on Saturday while in captivity.
It was unclear what effect the rescue might have on apparently stalled cease-fire efforts. US Secretary of State Antony Blinken will return to the Middle East next week, seeking a breakthrough.
"The hostage release and cease-fire deal that is now on the table would secure the release of all the remaining hostages together with security assurances for Israel and relief for the innocent civilians in Gaza," national security adviser Jake Sullivan said in a statement.
International pressure is mounting on Israel to limit civilian bloodshed in its war in Gaza, which reached its eighth month on Friday with more than 36,700 Palestinians killed, according to Gaza's Health Ministry, which does not distinguish between fighters and civilians.
Palestinians also face widespread hunger because fighting and Israeli restrictions have largely cut off the flow of aid.
Meanwhile, Benny Gantz, a popular centrist member of Israel's three-member War Cabinet who had threatened to resign from the government if it didn't adopt a new plan by Saturday for the war in Gaza, postponed an expected announcement. Netanyahu urged him not to step down.
