An elderly man was killed when a vehicle landed on top of him and his wife on the N3 near the Peter Brown off-ramp in Town Hill, Pietermaritzburg on Friday morning.
His wife sustained multiple injuries, ER24 spokesperson Werner Vermaak said in a statement.
Vermaak said paramedics arrived on the scene before 08:00 on Friday and found a bakkie on its side.
Vermaak said the man was declared dead on the scene and the woman was treated for her injuries and taken to a nearby hospital.
"The exact circumstances surrounding the collision and events leading up to the collision is not yet known. Local authorities attended the scene and will investigate," said Vermaak.