A woman and child have been killed in a crash on the Princes Highway on the state's south coast, while another child is fighting for life.
Police say a car with three occupants collided with a semi-trailer north of Berry about 11.45am on Tuesday.
The female driver and a child died at the scene, police said.
A girl in the vehicle, aged in her early teens, had to be freed from the vehicle and has been airlifted to Sydney's Prince of Wales Hospital in a critical condition, a NSW Ambulance spokesman said.
It's believed the three occupants of the car are related.
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The truck driver was not injured and the highway remains closed in both directions, with motorists warned the closure will last several hours.

