Dan Ticktum clinched his second straight Macau Grand Prix victory on Sunday after taking a dominant lights-to-flag win in a race marred by a lengthy red flag period following a high-speed crash that has left five people in hospital.

After winning Saturday's qualifying race, Red Bull junior driver Ticktum managed to retain the lead from pole position as Sacha Fenestraz got the jump on Joel Eriksson to move up to second place on the run to Lisboa.

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A multi-car pile-up at the back of the field on the opening lap resulted in the Safety Car being deployed, with the race returning to green on Lap 3.

Ticktum nailed the restart to ensure he kept Eriksson back, only for the race to be quickly red flagged after Flörsch's car got airborne at Lisboa, crashing into the catch fencing and surrounding area. The FIA has confirmed that Flörsch is conscious, and has been taken to hospital along with one other driver, two photographers and one marshal.

The red flag period lasted more than an hour as the crash site was cleared and repairs were completed, with Ticktum leading the field away after a Safety Car restart as Eriksson re-passed Fenestraz down the inside at Lisboa to take second place.

Ticktum's sole moment of pressure came after a late Safety Car period, called following a crash for Enaam Ahmed, when Eriksson managed to get a tow on the run to Lisboa. However, Ticktum held his Motopark teammate back, and was able to pull away again, setting the fastest lap of the race in the closing stages.

The Briton crossed the line to become only the third driver in the history of the Macau Grand Prix to win the F3 race in consecutive years, following Edoardo Mortara and Felix Rosenqvist, as well as strengthening his claim for a future Formula 1 race seat.

Eriksson was left to settle for second place ahead of Fenestraz, while Jake Hughes took fourth place ahead of Ralf Aron and Mick Schumacher.