The drums of war are pounding on the doorstep of Gaza City. Residents of the largest city in northern Gaza, packed with locals and refugees, fear the hours are ticking down before a looming Israeli offensive.

Israel’s defense minister warned on Friday that Gaza City could be destroyed unless Hamas accepts Israel’s terms, as the country prepares for an expanded offensive in the area.

Despite outrage from its allies, the White House has not commented on a report that found famine in Gaza. Analysts say that without U.S. pressure, Israel’s war will not likely change course.