Hamas has released sick new video showing the first proof-of-life footage of American hostage Keith Siegal.

Siegel appears gaunt in the three-minute-long footage, where at one point he wells up with tears, folds his head over and cries.

Seigel and fellow hostage Omri Miran — who also appears in the video — say in Hebrew they are praying for a hostage deal that sees them and other captives returned home, The Times of Israel reported.

The video is undated but Siegel, 64, discusses the Passover holiday and Miran, 46, says he has been held captive for 202 days.

Siegel was taken hostage along with his wife, Aviva Siegel, 62, at their home in Kibbutz Kfar Aza during Hamas’ murderous attacks in Israel on Oct. 7, which killed 1,200 people.

Aviva was among dozens of hostages released in November as part of a temporary ceasefire agreement between Hamas and Israel.