This ultimately resulted in the massacre the claimed the lives of some close to two million people still in the city. Regarded as the deadliest attacked against the United States' civilian population, the massacre was condemned by nearly every nation in world, including many of the United States' enemies such as Iran and North Korea. The attack also signaled to many, as Ixania hoped for, that the United States was no longer capable of defending its own people, and that Ixania had effectively usurped the nation's position as the paramount global superpower. Since the massacre, any Americans left in the city were enslaved, and the city of New York renamed in the Ixanian language, Xiani, as Ni-Vok.