The Israel Defense Forces denied carrying out a strike that hit an outpatient clinic at Gaza's Al-Shifa hospital Friday morning, stating it was a "misfired projectile launched by terrorist organizations inside the Gaza Strip."

There were two incidents at the hospital Friday morning, according to videos verified by ABC News. In one incident, a shell hit the refugee encampment outside of the hospital entrance. In the second incident, a strike hit the outpatient clinic where people were sheltering.

The Hamas-run Gaza Health Ministry blamed the Israeli military for the strike that hit the outpatient clinic.

As the humanitarian crisis in Gaza continues to worsen by the day, Jens Laerke, spokesperson for the United Nations humanitarian office, said, "If there is a hell on earth today, its name is northern Gaza."

"People who remain there, the corners of their existence are death, deprivation, despair, displacement, and literally, darkness," Laerke said. "The entire Gaza Strip has been plunged into darkness. … What do you tell your children in such a situation? It's almost unimaginable."

People are fleeing Gaza's Al-Shifa hospital, sources confirmed to ABC News, in the wake of a strike on the exterior area of the hospital's outpatient clinic. One surgeon told ABC News "everyone" has fled, calling it a "nightmare."

The hospital has been treating thousands of wounded people and housing as many as 80,000 displaced residents, according to The Associated Press.

The hospital's head of plastic surgery, Dr. Ahmed Mokhallalati, told ABC News he is among the roughly 15% to 20% of staff members still there on Friday.

Although many patients have evacuated, he said, "There is no hospital in Gaza that can accommodate this number of ICU patients -- around 100 ICU patients."

The Palestinian Red Crescent said occupation snipers fired on Gaza's Al-Quds Hospital, killing at least one and injuring at least 28.

Israel Defense Forces spokesman Richard Hecht said, "The IDF does not shoot at hospitals. If there are Hamas terrorists in the hospitals, the IDF will do what it needs to, but we are aware of the sensitivity. We tell Hamas to move the sick southward."

"Slowly we are closing in on them and taking every precaution not to harm the innocent," he said.

American diplomats abroad are giving stark warnings about the long-term ramifications of the war, telling their Washington counterparts in multiple diplomatic cables that their work and public opinion of the U.S. in the Arab world could be lost and denigrated for a generation, a State Department source told ABC News.

Diplomatic cables are how U.S. embassies around the world privately communicate with State Department leadership about what U.S. diplomats are seeing on the ground. While some are just regular updates, others contain candid assessments and analysis about what senior embassy staff are seeing on the ground and the potential impacts on U.S. foreign policy or the U.S. standing in the region.

Through tears and voices choked with raw emotion, people whose family members are believed to held hostage by Hamas pleaded for help during a Republican-led press conference at the U.S. Capitol on Tuesday.

Doris Liber told reporters that her son, Guy Iluz, called her as Hamas unleashed its terrorist attack against Israel on Oct. 7 and she hasn't heard from him since.

"I'm here because it's been 30 days. Every day is like eternity to me," Liber, who holds joint Israeli-American citizenship, said. "We don't have a list of the hostages. We don't know their condition. I don't have anything. So I need your help."

She described the last time she spoke to her son.

"We hear shots in the background," she said. "He was shot in the arm and he wasn't able to stop the bleeding and he was trying to say his last words."

“I tried to, you know, tell him, ‘Guy I love you. Don't worry, nothing's going to happen. I'm going to end the call now. I'm going to send somebody now to get you,'" she continued. "And that's what I did. I hung up and I regret that since I didn't hear from him since."

Yonatan Lulu-Shamriz said he was awoken by his pregnant wife as the sirens began to sound in their kibbutz. They grabbed their 3-year-old daughter, huddled in a safe room and listened as their neighbors were slaughtered, he said. Soon his brother, Alon, called to report he was under attack, Lulu-Shamriz said.

“We don't know what is their condition," Lulu-Shamriz said. "This is a wake-up call not only for Israel, not only for the Jewish community. This is a wake-up call for all of you -- all of you here, all of America, all of Europe. You are next. You are next. And we should do everything that we can to stop these atrocities."

House Speaker Mike Johnson vowed to "take action."

"We're resolved to help," the newly minted speaker said. "House Republicans want to do that."

-ABC News' John Parkinson and Lauren Peller