The unfolding crisis in northern Ethiopia bears all the hallmarks of a human rights and humanitarian catastrophe. Since November, more than 6 million people have been trapped between the guns of Ethiopia’s military forces, marauding Eritrean troops, Amharan militia, and the Tigrayan People’s Liberation Front (TPLF). The vast majority are now in urgent need of assistance. Yet the Ethiopian government continues to present a narrative that all is well in the north while effectively blocking relief aid. The Biden administration will need to move quickly to avoid further devastation in Tigray.