While an official famine has not been declared, the report describes the worst conditions yet seen in a 22-month civil war marked by atrocities and accusations of war crimes, including the blockading of food supplies.
"At least 30,000 people are living in extreme conditions and are facing starvation and death," the UN's Food and Agriculture Organization (FAO), the UN children's agency UNICEF and the World Food Programme (WFP) said in a joint statement.
Some 3.9 million people are in crisis -- a third of the country's population -- a massive 80 per cent rise compared to the same period last year, the UN said.
Famine is a technical measure, assessed by the Integrated Food Security Phase Classification (IPC), which classifies hunger on a scale of one to five.
An IPC report released today warned that without "urgent and immediate humanitarian access", the situation was "likely to deteriorate into famine".
Level five is classified as "Catastrophe", and when stretched to 20 percent of the population, becomes famine.
"Since the war in South Sudan started nearly two years ago, it is the first time that an IPC analysis has found any parts of the population in phase five, 'Catastrophe'," the UN added.
Conditions on the ground for affected individual households are therefore already effectively in famine conditions.
Hardest hit are the counties of Leer, Guit, Koch and Mayendit, areas where aid agencies have been forced to pull out in recent months due to intense fighting.
"People are on the edge of a catastrophe that can be prevented," said WFP chief Joyce Luma.
Both sides are accused of having perpetrated ethnic massacres, recruited and killed children and carried out widespread rape, torture and forced displacement of populations to "cleanse" areas of their opponents.
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