More than 13 million people in the central United States were under tornado watches, the National Weather Service (NWS) said.
A "very dangerous half-mile-wide tornado" touched down in Ohio state, NWS said.
One struck the rural town of Indian Lakes in western Ohio.
"It's pure devastation. I have never seen anything like this in my entire life," Amber Fagan, president of the Indian Lakes Chamber of Commerce, told a Columbus ABC television station.
"Downtown, it's bad. It's very bad."
Three people died in a mobile home park in Winchester, Indiana, when a suspected tornado struck, the ABC and NBC television networks reported, citing state police.
Storms hopscotched across the Ohio Valley, spawning apparent tornadoes in a number of areas.
Kentucky Governor Andy Beshear said on social media that a tornado moved through Gallatin and Trimble in his state but left no fatalities.
Tornadoes, a weather phenomenon that is as impressive as it is difficult to predict, are relatively common in the United States, especially in the central and southern parts of the country.
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