Since making landfall near Wilmington, North Carolina on Friday morning as a Category 1 hurricane, Florence has claimed at least 15 lives.
Strong winds have toppled trees trapping some and even killing others in their own homes.
Now a tropical depression, the storm has been dumping epic amounts of rain (800 mm or more) on North and South Carolina which has caused flash flooding as rivers and streams spill their banks.
First responders have rescued almost 1,000 residents from floodwaters while nearly one million are without power and tens of thousands have sought refuge in emergency shelters.
Many highways have been left impassable and officials are urging drivers to stay at home and off the roads.