Emergency workers clear debris at a damaged building in Thumane, 34 kilometers northwest of the capital, Tirana.
Residents gather outdoors in Tirana, home to nearly 900,000 people, after the first quake hit at around 3:50 a.m. Dozens of aftershocks followed.
A survivor being pulled from the rubble in Thumane.
A crumpled building in the Adriatic port city of Durres, 30 kilometers west of the capital, as an excavator works to try to extract survivors.
A collapsed residential building in Thumane. One person in the town reportedly diedafter leaping from their balcony during the quake.
A woman being carried to safety in Thumane.
Heavy damage seen in Durres. The quake was reportedly felt across the Balkans, from Sarajevo to Bosnia and even in the Serbian city of Novi Sad, almost 700 kilometers away.
A crushed car in Durres, Albania's second-most populous city.
Damage to a hotel in Durres, which reportedly suffered some of the worst destruction. The city is a popular tourist destination in summer.
A collapsed building in Thumane.
Detail of a collapsed residential building in Thumane. The U.S. Geological Survey said the earthquake hit at an approximate depth of 20 kilometers.
Damage in Durres.
A large residential building in Durres that appears to have collapsed its first floor.
Rescue workers searching for survivors in Thumane. Albanian Prime Minister Edi Rama tweeted: "The powerful earthquake has had serious consequences and unfortunately we have lost lives... [Emergency services] are working intensively to save every possible life at some fatal points in Durres and Thumana."
At least six people have been killed and 150 injured by an earthquake that was centered just outside Albania's capital in the early hours of November 26.