The 300,000 residents of Misratah, Libya’s third largest city have been living under siege and under fire since March 2011 when forces loyal to Colonel al-Gaddafi began a brutal military campaign to retake control of the only major opposition-held city in the west of the country. This report highlights cases of civilian casualties as a result of reckless and indiscriminate attacks by Colonel al-Gaddafi’s forces; the use of cluster bombs; the deliberate use of civilians as “human shields”; and the plight of foreign nationals trapped by the fighting.