A man's death and a spate of injuries has once again marred the Southern 80 water-ski race on the Murray River.
The annual river race in Echuca-Moama was suspended on Sunday after multiple injuries.
One of the injured, a man from NSW, later died after he was pulled from the water during Sunday's main race, racing organisers said.
Ski Racing Australia has advised that the #southern80 has been discontinued for the day due to an incident on the... https://t.co/XcVZewSYBe
— Southern 80 Ski Race (@southern80) February 12, 2017
In separate incidents, it's believed one boat flipped on the river, injuring two people.
Another skier hit a buoy, while another hit the water hard, Ambulance Victoria spokesman John Mullen said.
A man in his 20s was flown to the Royal Melbourne Hospital in a serious but stable condition with head and spinal injuries, he said.
A woman, believed to be in her 20s, was flown to Bendigo with a neck injury in a stable condition.
Two others were taken to hospital in Echuca: a man in his 40s with shoulder injuries and a man in his 20s in a serious but stable condition with head and neck injuries.
The man who died was pulled from the water at 1.20pm during the main race, Ski Racing Australia said in a statement.
The rest of the day's races were then called off.
"Ski Racing Australia and Moama Water Sports Club will offer their deepest condolences and sympathies to the deceased man's family and friends, and will provide all possible support to those involved," the sporting body said in a statement published on the race's Facebook page.
"Ski Racing Australia is not able to make any further comment at this time."
NSW Police could not immediately comment on the incident.
The identity of the man who died has not been released while police notify next of kin.
The Southern 80 race sees teams with two skiers pulled through more than 100 bends in the river. Some racers can reach speeds of more than 100km/h.
The annual event attracts competitors from around the world and remains a major tourist draw for the region, but has suffered from multiple deaths in recent years.
Last year, experienced skier Kevin Vahtrik, 47, of Sydney, died during the qualifying round.
In 2010, seven people were injured and veteran skier Tim Driver, 43, died after colliding with another racer.
The fatalities came after the deaths of local man Craig O'Toole, of Rochester, in a high-speed boat crash in the 2007 race, and Sydney skier David Perrotto on a hairpin turn in 2006.
John Lomas, president of the Moama Water Sports Club, which runs the annual event, declined to say anything when contacted on Sunday afternoon.
"No comment. No comment," he said.
But Campaspe Mayor Adrian Weston said he's confident racing organisers did everything they could to ensure this year's race was as safe as possible.
"Ultimately, it's in their hands around what the future may hold for the race," he said.
"But there would be very few sports where there's not some risk."