Hama has been in a state of revolt and virtually besieged for the past month.
Locals said more than 20 people were killed in "intense gunfire" after forces moved in from several sides.
The army is signalling that it will not tolerate large-scale unrest ahead of the month of Ramadan, when protests are expected to grow, correspondents say.
Syria has seen more than four months of protests against the authoritarian four-decade rule of President Bashar al-Assad's Baath party.
Centre of protestsAccording to activists on the ground, troops and tanks began their multi-pronged assault at dawn, smashing through hundreds of barricades erected by locals to reach the centre of Hama.
"[Tanks] are firing their heavy machineguns randomly and overrunning makeshift road blocks," a doctor in Hama told Reuters by phone, with machinegun fire in the background.
He said the death toll was rising rapidly, putting the latest estimate at 24. Three of the city's hospitals had received 19, three and two dead bodies respectively, he added.
Residents of northern Hama told Reuters that tank shells were falling at the rate of four a minute there. They also confirmed deaths in the area.
Electricity and water supplies had been cut, they said, in a tactic regularly used by the military when storming towns to crush protests.
Security forces snipers were reported to have taken up positions on high buildings, the BBC's Jim Muir reports from Beirut in neighbouring Lebanon.
One local activist said that five tanks had been abandoned by their crews in two parts of town, and that protesters had attacked and burnt down three police stations, our correspondent says.
Continue reading the main storySignificance of HamaHama - a bastion of dissidence - occupies a significant place in the history of modern Syria. In 1982, then-President Hafez al-Assad, father of Bashar, sent in troops to quell an uprising by the Sunni opposition Muslim Brotherhood. Tens of thousands were killed and the town flattened. The operation was led by the president's brother, Rifaat.
Similarly, current President Bashar Assad has turned to his own brother, Maher, who commands the army's elite Fourth Division, to deal with the unrest.
Hama, with a population 800,000, has seen some of the biggest protests and worst violence in Syria's 2011 uprising. It was slow to join in, but has now become one of the main focuses of the revolt, and is largely out of government control.
Earlier this month, the US and French ambassadors broke protocol and staged solidarity visits to the city. The Turkish Prime Minister, Recip Tayyip Erdogan has said there must not be "another Hama", meaning, another massacre.
Mass arrests The government blames armed Islamist gangs for the unrest, but correspondents say the protests appear largely peaceful, with only isolated cases of residents arming themselves against the military assault.Most foreign media is banned from the country, making it difficult to verify reports.
Hama was the scene of the suppression of an uprising against President Assad's father in 1982. The city has seen some of the biggest demonstrations of the recent unrest.
Activists say more than 1,500 civilians and 350 security personnel have been killed across Syria since protests began in mid-March. More than 12,600 have been arrested and 3,000 others are missing.
The protests show no sign of letting up despite a government crackdown that has brought international condemnation and sanctions.
On Saturday, troops shot dead three people who threw stones at a military convoy sent to quash unrest in the eastern city of Deir al-Zour, the Syrian Observatory for Human Rights said.
Spokesman Rami Abdel Rahman said about 60 military vehicles, including tanks, personnel carriers and trucks crammed with soldiers deployed in the key oil hub, which has seen near daily protests.
A total of 20 people were killed and 35 wounded on Friday as hundreds of thousands of protested in cities across Syria, rights groups said.
More than 500 people were arrested in a single operation in the Qadam neighbourhood of the capital Damascus, they added.
#ss-syria_beginners_guide{border:1px solid #bdbdbd;}#ss-syria_beginners_guide {width: 464px;}Syria's regime could be changing tactics with the threat of capture now the greatest fear among protesters, according to the personal account of one political analyst in the country.
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