Background: Radiological services are a very important medical branch in emergencies, especially in catastrophic or war zones. All radiology modalities depend on electricity to work; without it, no services could be provided. Teleradiology can provide radiological consultations to the zones deprived of radiologists due to any cause, but the destruction of the machine or a cut-off electric supply or internet will make teleradiology services impossible. Natural catastrophes and wars can affect any country with or without previous warning signs. Objective: This study aimed to through the light on radiological services providing in catastrophic war zones. Methods: We searched in PubMed, Scopus, and Web of Science for Emergency radiology, Teleradiology, War zones and Gaza genocidal war to identify relevant studies published between 2000 and 2024. Articles were selected based on their clinical focus, language (English and Arabic), and relevance to diagnostic and therapeutic challenges. Strict inclusion and exclusion criteria were applied to ensure that the analysis focused on studies pertinent to this research. Conclusion: Destruction of infrastructures is affecting medical services, either indirectly by lack of electricity and supplies or directly by the destruction of hospitals or deprivation of medical teams by the detaining, injuring, or killing of them. The genocidal war against Gaza till now, which began 15 months ago, is an example of a bloody war and a highly destructive war zone caused by wild targeting of everything. Nothing is excluded from being targeted. This article discusses this area as a recent and current example of ways to provide medical and radiological services in a catastrophic war zone.