Women and girls have gone from the frying pan to the fire. Rape is a main reason why many refugees fled, but there is "an alarming lack of medical and counseling services" in their new homes, the report said.
"They face unsafe conditions in camps and elevated levels of domestic violence, while reports of early and /or forced marriage of women and girls are increasing," the report said.
Children are traumatized. "Abuse, neglect and exploitation" are risks that are right around the corner.
In Turkey, 8-year-old refugee children make drawings, just like kids everywhere. The images? Scenes from home of bombs and terror.
"Many teachers in host schools are ill-equipped to assist traumatized children -- as are their parents. Many children exhibit violent aggressive behavior," the report said, citing an IRC counselor in Jordan.
"Others have stopped eating, talking and sleeping."
The IRC is telling the world it urgently needs solutions.
Humanitarian aid must be increased. Borders must remain open. More assistance is needed for internally displaced Syrians. Urban refugees need more attention, and women and girls need better protection.
The world also must prepare for fallout and instability, even if the al-Assad government is toppled.
"The international community must quickly plan for a displacement crisis that could last well beyond the end of the Assad government and persist regardless of the political outcome of the conflict," the report said.
Now winter is here. Aid agencies are bracing for more misery.
One refugee in Lebanon said his family has spent the year living in a sheep shed. Now they face the punishment of winter: winds, cold, rain and snow. Even flooding.
"I cry in my heart. I feel depressed. It's unjust," he said. "Is there a worse way to live than this?"
In a camp near Turkey, Abdul Qadr al-Hasan's daughter, Siham, succumbed amid the frigid air.
"She was not sick. She didn't have any problems at all. We were up late that night and we were playing with her," al-Hasan said, speaking in a tent.
"We woke up the next morning, her mother checked on her. She was curled into a ball from the cold."
Also near Turkey, Sharifa struggles on.
She says it is "God's will this happened."
"The situation is hard here, nobody can bear this."
Sharifa may be a limping casualty of war, but she and other young traumatized Syrians -- living in tents, crammed in apartments and hiding in villages and towns -- are now the country's future.
They will limp home after the war ends to rebuild their land.
"I don't want to play again," she said. "I just want to walk."