A man was shot in the head during five hours of violence that saw four people gunned down on the streets in one city.
West Midlands Police are investigating three shootings in Birmingham on Thursday evening but officers believe they are not connected.
The 36-year-old who was shot in the head suffered life-changing injuries after he was attacked in the Highgate area of the city at about 5.45pm, Birmingham Live reports.
Just before 10pm a double shooting in Lozells left two men, aged 35 and 22, hospitalised in a serious but stable condition.
A third shooting, also in Lozells, took place just after 10pm.
The 27-year-old victim was rushed to hospital in a stable condition.
All three roads where the shootings took place were sealed off as police conducted forensic examinations.
Officers were also carrying out house-to-house enquiries and say the three shootings are not believed to be linked.
CCTV footage from all the scenes was being collated and reviewed.
Patrols have been stepped up across the areas as a precaution and will continue into the weekend.
Chief Insp Pervez Mohammed, of Birmingham Police, said: “There is no place for violent acts such as these on our streets and behaviour like this will not be tolerated.
“We are doing all we can to understand the circumstances, find those responsible and take robust action against those who think it’s acceptable to carry weapons on our streets.
“We will continue to work tirelessly with partners and local people to tackle the harm and misery such actions cause to families and the wider community.”