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Anneliese Dodds has quit as international development minister over Sir Keir Starmer's decision to slash the overseas aid budget to pay for an increase in defence spending.
Ms Dodds, who is also Women and Equalities minister and attends cabinet, said she was resigning from both posts "with great sadness" but would continue to support the government from the backbenches.
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In her resignation letter to the prime minister, she acknowledged there was "no easy path" to fund the boost to defence spending but claimed there had been a "tactical decision" for the Overseas Development Aid (ODA) budget to "absorb the entire burden".
She said: "You have maintained that you want to continue support for Gaza, Sudan and Ukraine; for vaccination; for climate; and for rules-based systems.
"Yet it will be impossible to maintain these priorities given the depth of the cut; the effect will be far greater than presented, even if assumptions made about reducing asylum costs hold true."
Ms Dodds said the cut will likely lead the UK to pull-out from numerous African, Caribbean and Western Balkan nations, as well a withdrawal of commitments to international banks and a reduced voice in the G7 and G20.
"Ultimately, these cuts will remove food and healthcare from desperate people - deeply harming the UK's reputation." she added.
"I know you have been clear that you are not ideologically opposed to international development. But the reality is that this decision is already being portrayed as following in President Trump's slipstream of cuts to USAID."
Around £6bn per year will be taken out of the aid budget and transferred over to pay for defence.
That amounts to a reduction in aid spending from 0.5% of GDP to 0.3%.
The decision was praised by Mr Trump during a meeting with Sir Keir in Washington on Thursday, during which the prospect of a tariff-free trade deal was raised in what has widely been seen as a successful trip for US/UK relations.
Conservative MP Andrew Mitchell, who was the international develop minister under Rishi Sunak, said Ms Dodds had "done the right thing".
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He posted on X: "Labour's disgraceful and cynical actions demean the Labour Party's reputation as they balance the books on the backs of the poorest people in the world. Shame on them and kudos to a politician of decency and principle."
However Conservative leader Kemi Badenoch backed Sir Keir's decision.
She said: "I disagree with the PM on many things BUT on reducing the foreign aid budget to fund UK defence? He's absolutely right.
"He may not be able to convince the ministers in his own cabinet, but on this subject, I will back him.
"National interest always comes first."
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