Emergency services responded to the two-vehicle crash on Katamatite-Nathalia Rd about 2km south-east of Nathalia.
The incident occurred just before noon on Thursday, July 11.
The two occupants of one of the vehicles, a 28-year-old woman and a three-year-old boy, both from Nathalia, died at the scene.
The two occupants of the second vehicle, a 76-year-old man and a 73-year-old woman, both from Numurkah, were taken by road to local hospitals.
One was transported to Goulburn Valley Health and the other to Nathalia District Hospital, both in a stable condition.
The investigation into the cause of the collision is ongoing.
Anyone who witnessed the incident, has CCTV, dashcam footage or any other information that could assist police is urged to contact Crime Stoppers on 1800 333 000 or submit a confidential report online at crimestoppersvic.com.au
For the current provisional lives lost tally head to police.vic.gov.au/road-safety