A white Mini One driving northbound on Slag Lane in Lowton, towards Leigh, collided with the pensioners as they walked on the footpath at around 9.15am on Friday.
The women – aged 70 and 73 – were taken to hospital with life-threatening injuries.
The 70-year-old woman died a short time later, while the older woman remains in hospital in a critical condition.
The driver was also taken to hospital as a precaution and is assisting police with their inquiries. No arrests have been made.
Police are appealing for people to contact them with any information about the incident, including eyewitnesses or anyone with dash-cam footage.
PC John Harrison-Gough, of Greater Manchester Police’s serious collision investigation unit, said: “This is a tragic incident and my deepest condolences are with the family and loved ones of the woman who sadly passed away despite the best efforts of the emergency services. Our thoughts are also with the second woman who continues to fight for her life in hospital.
“We are asking anyone who witnessed this incident to assist us with our enquiries; whether it’s an eyewitness of the collision or someone who was in the area at the time who may have seen the preceding moments before the incident – get in touch with us.
“Anyone with dash-cam footage who was on Slag Lane around that time should also get in touch with us as any bit of information could be vital as we investigate the circumstances of this event.”
Anyone with information is asked to call police on 0161 856 4741, quoting incident 626 of July 3. Details can also be passed to independent charity Crimestoppers on 0800 555 111.
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