According to multiple accounts, returned hostage Edan Alexander was subjected to harsh interrogations by the Hamas terrorist organization that lasted for weeks.

It was also reported that he was held for a long period in a cage, bound hand and foot. As a result of the prolonged restraint, he suffered significant weakness in his legs and struggled to walk upon his release. Red Cross personnel had to assist him into the vehicle during his transfer.
Alexander was held alongside other hostages in the southern Gaza Strip, including Matan Zangauker, in a tunnel without daylight. There, he endured severe food shortages, according to a report by Kan 11. Only in recent months did he begin to receive more food, and in the final weeks before his release, the terrorists reportedly took to calling him "the American."