Three vehicles were associated with the mishap on Belgrave Middleway, close Edgbaston, at around 01:00 GMT.
Three men in a single auto kicked the bucket at the scene and a fourth is basically harmed in healing center. The driver of a taxi and his two travelers were additionally executed.
West Midlands Police depicted the scene as "exceptionally troublesome and irritating" and said officers were examining how the crash happened.
The street has been shut and police have requested for witnesses.
The principal auto in the crash had endured broad harm be that as it may, "amazingly", the man and the lady inside figured out how to get out with generally minor wounds, an emergency vehicle benefit representative said.
"The second vehicle, a dark taxi, was its ally. Tragically, there was nothing that should be possible to spare the driver and he was affirmed dead at the scene."
The female traveler was additionally affirmed dead at the scene, while her male sidekick was taken to Queen Elizabeth Hospital where he kicked the bucket.
There were four men in the third auto, and all had been tossed from the vehicle, the emergency vehicle representative said.
"Appallingly, three of them were affirmed dead at the scene."
The fourth was taken to the Queen Elizabeth Hospital and is in a basic condition.
Three different autos were made up for lost time in the crash and endured minor harm endeavoring to maintain a strategic distance from it.
Michelle Brotherton, from the emergency vehicle benefit, said her staff had managed 13 patients altogether.
And in addition the individuals who kicked the bucket and the man in a basic condition, four individuals were taken to Heartlands Hospital where their condition is accepted to be non-perilous.
A further two patients were "released on scene".
Street gritted
Supt Sean Phillips said the cop accountable for the examination had depicted it as an "exceptionally nerve racking scene".
He said it was "too soon" to estimate on the reason for the mishap.
"It will require some investment to unpick and simply see precisely what's happened. It would be out of line for me to conjecture as of now," he said.
He affirmed the street had been gritted at 17:00 GMT the past night.
Presentational dark line
At the scene: Riyah Collins, BBC West Midlands
Meters of police cordon tape and various vehicles have been utilized to close the street, and blue scientific tents can be seen beneath in the underpass.
The cordon extends no less than 100 meters either side of the Middleway and I can see various cops.
As local people discover what happened, they all say how grievous it is that six individuals should kick the bucket so near Christmas.
It isn't yet realized what caused the crash, however local people are letting me know there has for quite some time been an issue with speeding and hustling on this street and the connecting Bristol Street.
An auto engaged with a different crash adjacent only seven days back is still in favor of the street.
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