At least 120 people have died in the severe earthquake in central Italy, Italian Prime Minister Matteo Renzi said Wednesday evening on a visit to the affected region.
"And this toll is not final," he said, adding: "It is a pain without limits."
A total of 368 injured and sick people had been rescued from the two worst-hit villages, Amatrice and Accumoli, after the earthquake of a magnitude of at least 6 struck at 0136 GMT.
Italy was now standing together in solidarity to overcome the great challenges it faces after the quake, Renzi said. Dozens of people are still missing with hopes of finding them alive fading.
Rescue workers raced against time to find survivors from an earthquake that struck central Italy Wednesday, as the death toll reached at least 159.