Satellite images taken after Hurricane Helene hit North Carolina show washed-out streets and buildings, downed trees, and more.

Hurricane Helene has left a wake of death and destruction across Florida, Georgia, the Carolinas and Tennessee after it made landfall in Florida on Sept. 26. Despite being downgraded to a tropical depression, hundreds were killed by the storm, millions are still without power, and the damage is estimated in the billions of dollars.

New before and after satellite photos paint a grim picture of Hurricane Helene’s devastation in parts of western North Carolina that have been hard to access after the storm swiped away the state’s roads and bridges.