The United Nations has announced its biggest ever appeal, seeking $6.5bn (£4bn; 4.7bn euros) for humanitarian aid to Syria.
The UN estimates nearly three-quarters of Syria's 22.4 million population will need humanitarian aid in 2014.
The appeal coincides with a new study by the International Rescue Committee, which warns that starvation is now threatening the Syrian population.
Bread prices have risen by 500% in some areas, according to the report.
Four out of five Syrians said their greatest worry was that food would run out, the survey found.
"Start Quote
End Quote Antonio Guterres UN High Commissioner for RefugeesThis goes beyond anything we have seen in many, many years, and makes the need for a political solution all the much greater"
UN humanitarian chief Valerie Amos and UN High Commissioner for Refugees Antonio Guterres made the appeal on Monday in the Swiss city of Geneva.
In total, the UN is asking for almost $13bn to fund its humanitarian operations next year.
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UN humanitarian envoy Baroness Amos: "They say to me 'why has the world abandoned us?'"
Some $2.3bn are destined for civilians inside Syria, while $4.2bn would go to Syrian refugees in neighbouring countries.
The latest call exceeds the UN's record appeal for $4.4bn in June, of which only 60% has been funded so far.
"We're facing a terrifying situation here where, by the end of 2014, substantially more of the population of Syria could be displaced or in need of humanitarian help than not," Mr Guterres said.
"This goes beyond anything we have seen in many, many years, and makes the need for a political solution all the much greater."
"Start Quote
End QuoteIn a punishing war, bread is now a barometer of Syrians' suffering. Even their most basic food has become hard to find, even harder to afford."
Ahead of the launch, Lady Amos described the Syrian situation as "one of the biggest crises in modern times".
She said Syrian refugees "think the world has forgotten about them".
The UN estimates that some 6.3 million people have been internally displaced since the conflict broke out in March 2011.
More than two million Syrians have fled to neighbouring countries, including Lebanon and Turkey.
Nearly half of those who have remained in Syria now rely on aid, according to the UN.
Circumstances have worsened further with the onset of harsh winter weather.
International aid agencies say they have been struggling to provide medical aid to the sick and wounded because of fierce fighting between the forces of President Bashar al-Assad and the rebels.
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Ahmed Maher looks at the facts, figures and reasons for the conflict in Syria
IRC President David Miliband said the his organisation's latest survey showed "that starvation is now threatening large parts of the Syrian population".
He called the Syrian conflict "the defining humanitarian crisis of this century so far".
"It's a dire situation in Syria, and obviously an increasingly desperate one for the refugees in the neighbouring countries," he told the BBC.
Where Syrian refugees are
- 838,000 in Lebanon
- 567,000 in Jordan
- 540,000 in Turkey
- 207,000 in Iraq
- 129,000 in Egypt
- 6.5 million others displaced inside Syria
(Source: UNHCR)
"In a situation where civilians are targeted by snipers or bombs, where doctors are targeted because they've treated the 'wrong' side, and where aid workers are unable to cross conflict lines because the norms of war are not being followed and international humanitarian law is being broken, then obviously nothing is ever enough."
In a report released last week, Amnesty International accused European Union leaders of "miserably failing" to provide a safe haven to Syrians refugees.
Only 10 member states had offered to take in refugees and even then only 12,000, it complained. The UK and Italy had offered no places at all, the organisation said.
At Monday's appeal, Mr Guterres urged European countries to "keep their borders open".
"It is essential that Syrian refugees don't perish to get to Europe. It's essential that adequate visa policies are established," he said.
More than 100,000 people are estimated to have been killed since the unrest began more than two years ago.
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