Blog
/
/
October 21, 2020

Protecting Healthcare Organizations from Maze Ransomware

Discover how Darktrace detected and protected a healthcare organization from a Maze ransomware attack. Stay informed and protect your data today.
Inside the SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
Written by
Max Heinemeyer
Global Field CISO
Default blog image
21
Oct 2020

Ransomware, with more severe consequences and against increasingly high-stakes targets, continues to cause chaos and disruption to organizations globally. Earlier this year saw a surge in a strain of ransomware known as ‘Maze’, which shut down operations at leading optical products provider Canon and wreaked havoc in Fortune 500 companies like Cognizant.

Ransomware targeting healthcare

Just last month, news of a woman in Germany dying after a ransomware attack on the Dusseldorf University Hospital hit the headlines, confirming that the threat to people is no longer theoretical.

Ransomware affects all industries but 2020 has seen cyber-criminals increasingly hit essential services like healthcare, local government and critical infrastructure – intentionally or as collateral damage. As the stakes rise, so too does the need to understand how to prevent these devastating and pervasive attacks.

Once deployed, ransomware can spread laterally through an organization’s digital infrastructure in seconds, taking entire systems offline in minutes. Attackers often strike at night or at weekends, when they know security teams’ response time will be slower. Machine-speed attacks require machine-speed defenses that can detect and respond to this threat without human guidance, and autonomously block the threat.

This blog explains how AI detects and stops ransomware by learning ‘normal’ across the digital estate – from email and SaaS applications to the network, cloud, IoT and industrial control systems – by looking at an example of a Maze ransomware attack caught by Darktrace in a customer’s environment.

Darktrace’s Immune System detected the threat as soon as it emerged, but as the Autonomous Response capability was configured in passive mode, neutralizing the threat still required human action. This means that attackers were able to move laterally across the organization at speed and began to encrypt files before the security team stepped in. In active mode, Antigena Network would have contained the activity in its earliest stages.

How does Darktrace detect ransomware like Maze?

As soon as Darktrace is deployed – whether virtually or on-premise – the AI begins to learn the ‘pattern of life’ for every user and device across the organization. This enables the technology to detect anomalous activity indicative of a cyber-threat. It does this without relying on hard-coded rules and signatures; an approach that requires a ‘Patient Zero’ before updating these lists and containing subsequent identical threats. When it comes to a novel instance of ransomware spreading across an organization and infecting hundreds of devices in seconds, such an approach becomes useless.

With an understanding of the organization’s ‘pattern of life’, Darktrace’s AI recognizes unusual activity in real time. Such activity might include:

ActivityDarktrace detectionsUnusual downloads from C2 serversEXE from Rare Destination / Masqueraded File TransferBrute forcing publicly accessible RDP serversIncoming RDP brute force modelsBrute forcing access to web portal user accounts with weak passwords or lacking MFAVarious brute force modelsC2 via Cobalt Strike / Empire PowershellSSL Beaconing to Rare Endpoint / Empire Powershell and Cobalt Strike modelsNetwork scanning for reconnaissance & EternalBlue exploitSuspicious Network Scan model known to download Advanced IP Scanner after successful exploitMimikatz usage for privilege escalationUnusual Admin SMB Session / Unusual RDP Admin Session (Procdump, PingCastle, and Bloodhound)Psexec / ‘Living off the Land’ for lateral movementUnusual Remote Command Execution / Unusual PSexec / Unusual DCE RPCData exfiltration to C2 serversData Sent to Rare Domain / Unusual Internal Download / Unusual External UploadEncryptionSuspicious SMB Activity / Additional File Extensions AppendedExfiltration of passwords through various cloud storage servicesData Sent to New External DomainRDP tunnels using NgrokOutbound RDP / Various beaconing models

In addition, Darktrace is able to identify attempts to brute force access on Internet-facing servers. It can also detect specific searches for passwords stored in plain text as well as various password manager databases.

Maze ransomware analysis

Figure 1: A timeline of the attack

Most recently, Darktrace’s AI detected a case of Maze ransomware targeting a healthcare organization. Darktrace’s Immune System spotted every stage of the attack lifecycle within seconds, and the Cyber AI Analyst immediately launched an automated investigation of the full incident, surfacing a natural-language, actionable summary for the security team.

The initial infection vector was spear phishing. Maze is frequently delivered to healthcare organizations using pandemic-themed phishing emails. Darktrace also offers AI-powered email security that understands normal behavior for every Microsoft 365 user and spots anomalies that are indicative of phishing, but in the absence of this protection, the emails were waved through by traditional gateways.

The attacker began engaging in network scanning activity and enumeration to escalate access within the Research and Development subnet. Darktrace’s AI detected a successful compromise of admin level credentials, unusual RDP activities and multiple Kerberos authentication attempts.

Darktrace detected the attacker uploading a domain controller, before batch files were written to multiple file shares, which were used for the encryption process.

An infected device then connected to a suspicious domain that is associated to Maze mazedecrypt[.]top and the TOR browser bundle was downloaded, likely for C2 purposes. A large volume of sensitive data from the R&D subnet was then uploaded to a rare domain. This is typical of Maze ransomware, which is seen as a ‘double threat’ in that it not only seeks to encrypt critical files but also sends a copy of them back to the attacker.

This form of attack, also known as doxware, then provides the attacker with leverage in the possible event that the organization refused to pay the ransom – they can sell the data on the Dark Web, or threaten to leak intellectual property to competitors, for instance.

Real-time automated investigations with Cyber AI Analyst

Throughout the attack lifecycle, multiple high-fidelity alerts were generated by Darktrace AI and this prompted the Cyber AI Analyst to automatically launch an investigation in the background, stitching together the different events into a single, comprehensive security incident, which it then displayed for human review in a single screen.

Figure 2: The data exfiltration to a rare external domain

Figure 3: Darktrace’s user interface highlighting the unusual activity and model breaches on a domain controller directly linked with the ransomware attack

Targeted, double-threat attacks like Maze ransomware are on the rise and extremely dangerous – and they are increasingly targeting high-stakes environments. Thousands of organizations are turning to AI, not only to detect and investigate on ransomware intrusions as demonstrated above, but to autonomously respond to events as they occur. Ransomware attacks like these show organizations why autonomous response in active mode is not just a nice to have – but necessary – as fast-moving threats demand machine-speed responses.

In a previous blog, we looked at a novel zero-day ransomware attack that slipped through legacy security tools – but Antigena Network was configured in active mode, autonomously stopping the threat in its tracks. This unique capability is becoming crucial for organizations in every industry who find themselves targeted by increasingly sophisticated attack methods.

Thanks to Darktrace analyst Adam Stevens for his insights on the above threat find.

Learn more about Autonomous Response

Darktrace model detections

  • Device / Suspicious Network Scan Activity
  • Device / Network Scan
  • Device / ICMP Address Scan
  • Unusual Activity / Unusual Internal Connections
  • Device / Multiple Lateral Movement Model Breaches
  • Experimental / Executable Uploaded to DC
  • Compromise / Ransomware::Suspicious SMB Activity
  • Compromise / Ransomware::Ransom or Offensive Words Written to SMB
  • Compliance / SMB Drive Write
  • Compliance / High Priority Compliance Model Breach
  • Anomalous Connection / SMB Enumeration
  • Device / Suspicious File Writes to Multiple Hidden SMB Shares
  • Device / New or Unusual Remote Command Execution
  • Anomalous Connection / New or Uncommon Service Control
  • Anomalous Connection / SMB Enumeration
  • Experimental / Possible RPC Execution
  • Anomalous Connection / High Volume of New or Uncommon Service Control
  • Experimental / Possible Ransom Note
  • Anomalous File / Internal::Additional Extension Appended to SMB File
  • Compliance / Tor Package Download
  • Device / Suspicious Domain
  • Device / Long Agent Connection to New Endpoint
  • Anomalous Connection / Data Sent to Rare Domain

Inside the SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
Written by
Max Heinemeyer
Global Field CISO

More in this series

No items found.

Blog

/

AI

/

June 30, 2026

5 Ways AI is changing traditional security models according to modern CISOs

Default blog imageDefault blog image

The Reality of Securing AI in Motion

Traditional security tools were built for environments defined by fixed rules and predictable workflows. But AI behavior is non-deterministic. The same prompt can produce different outcomes, and risk often emerges gradually as AI behavior adapts, and permissions drift over time. This creates a constantly shifting environment where security teams are working to define control in a system that resists stability. “In AI security, yesterday's priorities can become tomorrow's blind spots. The landscape shifts that fast,” warned the SVP and Head of Technology and Cybersecurity of a real estate investment trust. Conventional approaches, which rely on establishing and maintaining a steady baseline, struggle to keep up with that level of change.

At the same time, AI adoption is accelerating across organizations, often faster than security teams can implement the controls needed to manage it. “The car is being built while it’s already on the road,” explained the CISO of a global private fund administrator. “The threats we're securing against today won't be the threats we're facing tomorrow. What kept us up three months ago looks nothing like what we're dealing with today.”

As businesses move quickly to unlock value from AI, security teams are left closing gaps in real time, while also facing adversaries who are using AI to make their attacks more scalable, adaptive, and difficult to detect. In this recent roundtable discussion of CISOs and security leaders, five themes emerged around AI cyber risk.  

1. AI agents with human access but no human judgment

In Darktrace’s 2026 State of AI Cybersecurity report, 96% of the surveyed security professionals agree that AI significantly improves the speed and efficiency with which they work. Yet, 92% admitted that they’re concerned with the security implications of the use of AI agents across their workforce.

AI agents now operate with human-level permissions across systems, acting at machine speed, orchestrating actions across platforms, and making decisions without the judgment or caution a person would apply. Unlike human users, they cannot be expected to pause and question whether a given action is appropriate.

Their identities are also difficult to inventory, govern, and audit. As agents become easier to deploy than legacy IT systems ever were, organizations are quickly losing track of what is running, what it has access to, and what it is doing. This creates a growing class of highly privileged, autonomous actors operating without the visibility or oversight that traditional identity and access controls were designed to provide.“While AI adoption is critical to running a modern business, AI alone can’t solve all our cybersecurity challenges,” said a global financial sector CISO. “We still need think critically and use human judgement. Those are two things AI can’t do.”

This lack of human judgment becomes especially risky as new architectures, such as Model Context Protocol (MCP), can expand how agents connect to data, tools, and external systems. By design, MCP enables agents to dynamically discover and interact with new resources, increasing flexibility but also introducing new pathways for unintended access, data exposure, or abuse if not properly governed.

The CISO of a fund administrator highlighted one emerging vector as an example: rogue MCP servers. “Our developers want to move quickly and bring value to the business, but technologies like these can unintentionally expose sensitive data in ways that would never have happened before.”

2. Increased digital complexity and expanded attack surface

AI activity rarely stays contained. A single prompt can trigger a chain of actions across networks, email, cloud infrastructure, SaaS platforms, endpoints, identity systems, and development environments, spanning systems that were never designed to be secured as a single, connected flow. This expands both the scale and complexity of what security teams need to monitor and defend.

Yet no single control has visibility across that entire chain. “You can’t defend effectively what you can’t see,” cautioned the private fund administrator CISO. As AI-driven activity moves fluidly across environments, gaps in coverage become inevitable, creating blind spots that attackers can exploit.

Threat actors are already capitalizing on this lack of visibility. “Threat actors have advanced their use of generative AI to launch more convincing phishing campaigns, automate social engineering, and scale attacks with greater precision down to the individual level,” said the SVP of Technology and Cybersecurity for the real estate investment trust. What was once manual and targeted can now be automated and personalized at scale, making attacks harder to detect and easier to execute.

At the same time, the pace of exploitation is accelerating. As a global CISO operating across 40+ countries described it: “Zero-day vulnerabilities are no longer zero day; it’s minus one day. By the time you get to it and address it, it’s already a problem.” By the time risk is identified, it has often already been realized.

The result is a rapidly expanding and increasingly interconnected attack surface that challenges security teams to maintain visibility, context, and control across AI-driven activity.

3. Shadow AI is already everywhere

76% of organizations now cite shadow AI as a problem, one that is spreading through organizations in ways that are hard to track and even harder to control.

Employees are experimenting with publicly available Gen AI tools. Teams are spinning up low-code automations on their own. SaaS providers are quietly embedding AI into existing products. Developers are plugging AI services directly into workflows, often without pausing to consider what that exposure means.

The result is a lack of visibility into:

  • What AI tools are being used
  • What data those tools can access
  • Where prompts and outputs are going
  • Which AI agents are interacting with enterprise systems

The SVP of Cybersecurity at a real estate investment trust described the shift: “Before, I was worried about someone sending data erroneously to their personal email. Now we have all these agents online that people are utilizing, and we’re looking at those vectors as well.” For security teams, this means operating without a complete view of how AI is being used, what it can access, and where risk may already be emerging.

4. Built-in guardrails are not enough

Organizations often assume that native AI guardrails or provider-level controls are sufficient to manage AI risk. But securing AI requires ongoing visibility, oversight, and governance, not just controls configured at deployment. "It’s a misconception that adopting AI is going to solve all your problems,” warns a global financial services CISO.

Security leaders are increasingly recognizing the limitations of these controls as:

  • Fragmented and difficult to enforce consistently across multiple AI systems, workflows, and environments
  • Ambiguous in terms of accountability due to shared responsibility for AI governance between IT, security, developers, business teams, and third-party providers
  • Limited in end-to-end oversight, leaving gaps that stretch from the initial prompt all the way through to the downstream impact of an agent's actions

Securing AI demands more than simple prompt filtering or static policy enforcement. It requires understanding intent, behavior, and context across both human and AI activity.

The next phase of cybersecurity: securing AI

To safely and responsibly adopt AI at scale, organizations need a new operational model for cybersecurity that’s capable of:

• Understanding AI behavior

• Identifying risk in real time

• Maintaining governance without slowing innovation

The CSO of a $10 billion municipal utility organization described the challenge with precision: “We have to move at the speed of innovation and risk, because both are accelerating faster than ever.”

Embrace AI with confidence with Darktrace / SECURE AI

Darktrace has introduced Darktrace / SECURE AI™, a new product within the Darktrace ActiveAI Security Platform™  ,designed to provide enterprise-wide security for AI by applying industry leading behavioral analysis to how prompts, agents, and AI systems are used.

Darktrace / SECURE AITM delivers real-time visibility and control across Enterprise and SaaS GenAI prompts, AI agent identities, development and production environments, and Shadow AI - detecting even subtle misuse, misconfiguration, and drift that traditional, rule-based controls simply do not understand. By interpreting context and intent across humans and machines, Darktrace enables organizations to adopt AI at scale without introducing unmanaged risk

What makes this possible is Darktrace’s decade-long maturity and expertise in behavioral understanding and AI-native cybersecurity. Achieved with Self-Learning AI that has been proven across more than 10,000 organizations, Darktrace understands what “normal” looks like for a business, across its users, systems, and now AI, so that meaningful deviations can be detected and acted on before they become incidents.

With one CISO describing Darktrace’s Self-Learning AI as “a leap forward compared to other tools” and another as a “force multiplier,” the technology can interpret ambiguous interactions, understand how access accumulates over time, and recognize when behavior, human or machine, begins to drift.

“Strategically, we’re looking to gain more visibility into how AI is operating across the environment and achieve greater control over what AI should be allowed to access and do,” shared the CISO at a private fund administrator.  

“What I’ve seen from Darktrace / SECURE AI is extremely promising. I have tremendous confidence in Darktrace’s vision for where this is headed and its ability to execute on this new solution.”

Continue reading
About the author
The Darktrace Community

Blog

/

Email

/

June 29, 2026

How Darktrace Transformed Cybersecurity at Our Health Center: A CIO’s Perspective

Default blog imageDefault blog image

How Darktrace Transformed Cybersecurity at Our Health Center: A CIO’s Perspective

In my role as CIO, I bring years of experience leading IT for healthcare organizations. I’ve seen firsthand the unique cybersecurity challenges that nonprofit health centers face: limited budgets, small IT teams, and the constant pressure to prioritize patient care over technology investments. Yet, the threat landscape for health is relentless, and the stakes for protecting patient data and ensuring operational continuity have never been higher. It’s a balancing act.

The search for a better solution

Like many nonprofits, organizations I work at start with Microsoft’s security stack. The discounted pricing for nonprofits makes it an obvious choice, and Microsoft Defender provided a solid foundation for endpoint and email security. However, I quickly realized that relying on a single vendor, even one as robust as Microsoft, left gaps in our defenses. Cybersecurity is never one-size-fits-all, which is why my preference was to layer an additional solution on top of our native security to improve our security posture.

Teams needed a solution that could layer seamlessly on top of Microsoft, without adding complexity or draining limited resources. That’s when I found Darktrace. I had heard of their reputation after seeing how other organizations used Darktrace to secure their infrastructure and was impressed by their AI-native, agentless approach and agreed to a proof of value (POV).

Our goal was to elavate Microsoft with an additional layer of intelligence- one that could seamlessly integrate, operate autonomously, and support a small team without increasing overhead. We turned to Darktrace because its AI-native, agentless approach offered a fundamentally different way to detect and respond to threats, learning our environment in real time and filling gaps that traditional tools can miss. With a quick POV, we were able to validate how effectively Darktrace works alongside Microsoft to deliver a more complete and resilient security architecture.

Why Darktrace stood out

From the start, Darktrace differentiated itself in several critical ways:

  • Deep visibility: Unlike other solutions that rely simply on host-based monitoring with endpoint agents, Darktrace operates passively at the network layer and integrates via APIs for email and identity security. This gave full visibility into network traffic that we previously didn’t have, going beyond our existing endpoint-based tools without adding additional maintenance overhead for our small IT team.
  • AI-native from the ground up: Darktrace wasn’t just layering AI on top of an existing product; it was built with AI at its core. Their autonomous detection and response to threats immediately reduced the need for constant human supervision. In a world where cyber-attacks are increasingly sophisticated and subtle, having an AI that learns our environment and adapts in real time is invaluable.
  • Comprehensive coverage: We started with a POV focused on email security, but quickly expanded to full deployment across our entire infrastructure. Darktrace’s products now protect our email, network, and identity layers, providing visibility and defense against lateral movement and abnormal behavior that traditional tools often miss.

Integration and workflow: Smooth and simple

One of the most impressive aspects of Darktrace is how easy it was to integrate into an existing environment. For network security, it was as simple as plugging an appliance into our top-of-rack switch – no downtime, no complex configuration. For email and identity, API integrations meant we could be up and running in hours, not weeks.

This simplicity extended to day-to-day operations. Our IT team received regular security reports, and any time we had questions or needed to adjust policies, Darktrace’s support team was there with white-glove service. Their responsiveness- even in the middle of the night- gave us confidence that we had true partners, not just a vendor.

Real-world impact: Threats stopped, time saved

The results spoke for themselves. During the time with Darktrace, I did not experience any security incidents. The team slept better at night knowing that Darktrace was monitoring for anomalies and proactively blocking suspicious activity, alerting us even before we noticed anything was wrong.

A memorable example was during an Electronic Health Record (EHR) upgrade, when my team forgot to adjust the policy in advance. Darktrace’s autonomous response was so effective that it blocked our upgrade activities- proof that nothing, not even internal changes, could slip by unnoticed. This level of vigilance meant that ransomware, data exfiltration attempts, or insider threats would be detected and contained before causing harm.

While I can’t share specific ROI numbers, the value was clear: we’ve avoided costly breaches, reduced the time spent investigating alerts, and eliminated the performance drag of agent-based tools. With Darktrace layered on top of Microsoft, I’ve hit the right balance of maximum protection with minimal spending. The cost of Darktrace / EMAIL was competitive, especially when factoring in the included Managed Detection and Response (MDR) service, which provides expert human oversight on top of the AI.

Key differentiators over the competition

  • Extending visibility beyond the endpoint: Traditional host-based monitoring solutions, such as EDR, play a critical role in securing individual devices. By adding a network detection and response (NDR) layer, we gained visibility into activity across our wider digital environment, surfacing threats that move laterally, operate between devices, or bypass endpoint controls. Darktrace also stood out for its ability to learn our normal patterns of behavior and identify subtle deviations in real time, not just known indicators of compromise. Because this is delivered through passive, non-disruptive monitoring, we were able to strengthen our defenses without adding complexity or impacting performance.
  • Layered security without complexity: Darktrace elevated our Microsoft foundation without creating conflicts or requiring us to disable existing protections. This layered approach maximized our security posture without adding operational burden.
  • Expert partnership: Beyond technology, Darktrace’s team acted as true partners, guiding us through deployment, providing ongoing support, and helping us interpret findings. This partnership was as valuable as the technology itself.

Advice for other nonprofits

If you’re an IT leader in a nonprofit, my advice is simple: look for solutions that are easy to deploy, intelligent in their response, and cost-effective. Don’t settle for more endpoint based tools that overlap with what you already have. Seek out a layered approach that covers your blind spots – especially at the network and email layers- at a price point that suits your organization.

Most importantly, don’t be afraid to evaluate new solutions. Even if you’re inundated with vendor pitches, you owe it to your organization to explore options that could save you time, money, and sleepless nights.

For organizations I work at, combining Microsoft’s security stack with Darktrace’s AI-native, platform struck the right balance between protection and practicality. We gained enterprise-grade security without sacrificing performance or stretching our budget. In the end, that meant more resources for what matters most: delivering care to our patients. If you’re facing similar challenges, I encourage you to consider how Darktrace could transform your security posture, and give your team the peace of mind they deserve.

For the organization I work in, combining Microsoft with Darktrace delivered a clear step-change in our security posture. Microsoft provided the foundation, while Darktrace’s behavioral intelligence added visibility into the unknown, surfacing emerging threats based on deviations in real-time activity, not just known indicators.

The result was enterprise-grade protection without added overhead, allowing us to stay focused on patient outcomes, not security operations. For organizations facing similar pressures, this layered approach offers a smarter, more efficient path to securing modern environments.

Continue reading
About the author
Mice Chen
Chief Information Security Officer
Your data. Our AI.
Elevate your network security with Darktrace AI