One runner was pierced by a horn in the face, while 12 more people needed medical treatment for an assortment of knocks.

The fourth San Fermin bull run was once again a fast and dangerous dash along the cobbled streets of Pamplona.

One runner has been gored in the face and many more were fortunate to not be seriously injured during a chaotic bull run at Spain’s San Fermin festival on Saturday

Americans are the biggest group of foreign bull runners