A man has been killed in a head-on collision on the Pacific Highway, north of Grafton.
Emergency services were called to the scene at Cowper just before 8am, where two utes had crashed.
The driver of a Ford utility died at the scene.
The male driver and female passenger of a Holden Colorado – both aged in their 20s – were taken to Lismore Base Hospital in a serious condition.
Anyone who witnessed the crash is asked to contact Crime Stoppers.