At least 200 people are reported to have been killed in the Syrian village of Tremseh, in Hama province.
Opposition activists quoted residents as saying the village was attacked with helicopter gunships and tanks.
Pro-government Shabiha militia later went in on foot and carried out execution-style killings, they said.
State media said "terrorist groups" had carried out a massacre to raise tensions ahead of a UN Security Council meeting on the Syria observer mission.
If it is confirmed, the Tremseh attack would be one of the bloodiest single events in the Syria conflict.
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