The US saw a record high of 91,000 new COVID-19 cases reported on Thursday, with spikes in dozens of states just days before the presidential election.
The same day, more than 1,000 Americans died with the virus, as the national death toll and number of patients in hospital continue to trend upward.
According to a Johns Hopkins University tally, the US is just shy of nine million total cases.
The contest between Donald Trump and Joe Biden comes to a head on Tuesday.
This is the third time this month that the US daily death toll has surpassed 1,000.
Twenty-one states are experiencing outbreaks, with some of the most severe in the states that will be key in deciding the 2020 election.