Total Iran war death toll as of April 23, 2026: Iran: 3,468 confirmed killed (Foundation of Martyrs official figure, April 19 2026 — excludes unreported military casualties). Lebanon: 2,300+ killed in Israeli strikes. US: 13 service members killed, 303 wounded. Israel: 23 killed. Ceasefire extended indefinitely April 21 — conflict ongoing with US naval blockade active and maritime incidents continuing. Figures sourced from CENTCOM, IDF, Lebanese Health Ministry, Iranian Foundation of Martyrs, and verified OSINT. Updated every 2 hours.