Four people have been injured, including two seriously, following a crash on State Highway 2, near Ōtāne.
Emergency services were called to the crash near the intersection of SH2 and Te Onepu Rd shortly after 10.10am on Wednesday.
A spokeswoman for police said three people were believed to have been moderately injured and a fourth seriously in the three-vehicle crash, which included one small truck.
A spokesperson for St John ambulance later confirmed two people in a serious condition and one person in a moderate condition were treated and transported to Hawke's Bay Hospital.
One person who was trapped had to be extracted by firefighters also in attendance.