One person has received critical injuries and another serious after a crash involving two cars on State Highway 2, near Te Hauke.
Emergency services were called to the two-car crash about 1.15pm where the northbound lane of SH2 was temporarily blocked, a police spokesperson confirmed.
Two people were taken to Hawke's Bay Hospital by St John Ambulance.
A hospital spokesperson confirmed one man in his 40s was in a critical condition while another man in his 70s was in a serious but stable condition.
One person who was trapped had to be extricated from the vehicle by firefighting crews from Otane.