US President Donald Trump has redoubled his attack on four Democratic congresswomen, accusing them of "hating our country".
"If you are not happy, if you are complaining all the time, you can leave," he told a heated news conference outside the White House.
On Sunday Mr Trump called on the women, who are from ethnically diverse backgrounds, to "go back".
He was widely accused of racism and xenophobia, which he denied.
Mr Trump first sparked a furore in a series of tweets on Sunday in which he said the women "originally came from countries whose governments are a complete and total catastrophe".
"Why don't they go back and help fix the totally broken and crime infested places from which they came. Then come back and show us how," he wrote.
He did not explicitly name the women, but the context made a clear link.
The four - US-born Alexandria Ocasio-Cortez, Rashida Tlaib and Ayanna Pressley, and Ilhan Omar, who came to the US as a refugee aged 12 - all called the president racist and were backed by members of the Democratic Party.
Ms Ocasio-Cortez was born in the Bronx in New York, about 12 miles (19km) away from the Queens hospital where Mr Trump was born.
What did Trump say?
"These are people that in my opinion hate our country," President Trump told reporters on Monday.
"As far as I'm concerned if you hate our country, if you're not happy here, you can leave. You can leave right now. I don't know who's going to miss 'em," he said, to applause from some in the audience.
Times when Americans were told to 'go home'
The women tangled in Trump's racially charged row
PM candidates condemn Trump 'go back' tweets
Asked by a reporter if he was concerned that his tweets had been seen by some as racist, Mr Trump said he was not.
"It doesn't concern me because many people agree with me," he added.
Video caption African Americans in New Orleans reflect on race relations
Mr Trump lashed out particularly at Ms Omar, saying she "hates Israel" and "hates Jews", as well as suggesting she supported the jihadist group al-Qaeda.
"I don't know, I never met her, I hear the way she talks about al-Qaeda," Mr Trump said.
"Al-Qaeda has killed many Americans. She said, 'you can hold your chest out, when I think of America, when I think of al-Qaeda, I can hold my chest out.'"
US media reported that Mr Trump's accusations probably reference a 2013 interview where Ms Omar was discussing a college terrorism class.
She did not praise al-Qaeda in the interview. Ms Omar instead recalled a class in which "every time the professor said 'al-Qaeda', his shoulders went up".
Ms Omar went on to point out that you do not say "America" or "England" with that same intensity, adding "but you say these names [of terrorist groups] because you want the word to carry weight. You want it to be something".
Image copyright GETTY IMAGES Alexandria Ocasio-Cortez (left), Rashida Tlaib (centre) and Ayanna Pressley (right)
Image caption Alexandria Ocasio-Cortez (left), Rashida Tlaib (centre) and Ayanna Pressley (right) accused the president of racism
What's the reaction?
On Monday, Republican Senator Susan Collins said in a statement the tweets were "way over the line" and should be removed, while Republican Congressman Will Hurd, who is African American, described the comments as "racist and xenophobic".
But Republican Congressman Andy Harris defended Mr Trump, telling WBAL radio : "Clearly it's not a racist comment. He could have meant go back to the district they came from, the neighbourhood they came from."
Presentational grey line
Trump keeps pushing racial boundaries
Analysis by Gary O'Donoghue, BBC Washington C orrespondent
Telling people of colour to go back to where they came from cannot be regarded as anything other than a blatant evocation of a well-worn trope of racist language and sentiment that's as old as the hills.
But usually politicians who want to play the race card reach for the "dog whistle" - a political nudge and a wink that tells their supporters that they share their views that cannot easily be voiced in a liberal democracy without alienating people whose support they will need.
President Trump, however, has pushed the boundaries on racially charged language ever since he became a candidate.
Remember how Mexicans were Rapists and Drug dealers, how there were "good people" on both sides of the argument when white supremacists marched in Charlottesville, and how the President didn't see why America should allow more people in from "********" countries in Africa.
So what is his strategy? Keeping his core support fired up is unquestionably part of it. And exploiting divisions within Democratic ranks which have had racial overtones in recent days is another reason for his actions.
But in many ways, we should not be surprised by this President ratcheting up the political heat in this particular way.
After all, it's a short intellectual step from the economic nationalism encapsulated in the idea of America First, to a more thorough-going nationalism that sees a threat from the enemy within.
Follow Gary O'Donoghue on Twitter
Presentational grey line
Despite criticism, President Trump launched another Twitter tirade on Monday morning, calling on the women themselves to apologise - to him and "the people of Israel".
Mr Trump has also accused Speaker of the House of Representatives Nancy Pelosi of racism, after she said the president's campaign slogan, Make America Great Again, was "about making America white again".
"That's a very racist statement," Mr Trump said. "I'm surprised she'd say that."
Image copyrightEPA Nancy Pelosi
Image caption Nancy Pelosi says a resolution condemning the president's comments is forthcoming
In a letter to Democrats on Monday, Mrs Pelosi announced a resolution in the House to condemn the "disgusting attacks".
And on the Senate floor, Democratic leader Chuck Schumer called out conservatives, saying: "My Republican friends, he's not backing off. Where are you?"
Also on Monday, Mr Trump's attorney general William Barr delivered remarks at a Department of Justice forum on battling anti-Semitism, where he condemned "identity politics" and said he was "deeply concerned about the rise in hate crimes and political violence" in the last decade.
What's the background?
In his initial Twitter thread, Mr Trump did not specifically mention a link to recent news events, but immigration at the southern border was a dominant topic in US news at the weekend.
On Friday, Ms Ocasio-Cortez, Ms Tlaib and Ms Pressley testified to a House committee about conditions in a migrant detention centre they had visited. They expressed horror about alleged mistreatment happening "under American flags".
The president replied by tweeting that children's detention centres had had "great reviews" and the adult male areas were "loaded up with a big percentage of criminals".
This is not the first time Mr Trump has been accused of racism.
For years, he made false claims that former President Barack Obama was not born in the US - propagating the racist "birther" conspiracy.
Mr Trump and his father Fred Trump were sued by the Department of Justice in 1973 for discrimination against African Americans in their renting practices. They settled the case without admitting guilt in 1975 but were accused again by the justice department in 1978 of an "underlying pattern of discrimination" against black tenants.
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