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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
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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

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April 2, 2026

How Chinese-Nexus Cyber Operations Have Evolved – And What It Means For Cyber Risk and Resilience 

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Cybersecurity has traditionally organized risk around incidents, breaches, campaigns, and threat groups. Those elements still matter—but if we fixate on individual incidents, we risk missing the shaping of the entire ecosystem. Nation‑state–aligned operators are increasingly using cyber operations to establish long-term strategic leverage, not just to execute isolated attacks or short‑term objectives.  

Our latest research, Crimson Echo, shifts the lens accordingly. Instead of dissecting campaigns, malware families, or actor labels as discrete events, the threat research team analyzed Chinese‑nexus activity as a continuum of behaviors over time. That broader view reveals how these operators position themselves within environments: quietly, patiently, and persistently—often preparing the ground long before any recognizable “incident” occurs.  

How Chinese-nexus cyber threats have changed over time

Chinese-nexus cyber activity has evolved in four phases over the past two decades. This ranges from early, high-volume operations in the 1990s and early 2000s to more structured, strategically-aligned activity in the 2010s, and now toward highly adaptive, identity-centric intrusions.  

Today’s phase is defined by scale, operational restraint, and persistence. Attackers are establishing access, evaluating its strategic value, and maintaining it over time. This reflects a broader shift: cyber operations are increasingly integrated into long-term economic and geopolitical strategies. Access to digital environments, specifically those tied to critical national infrastructure, supply chains, and advanced technology, has become a form of strategic leverage for the long-term.  

How Darktrace analysts took a behavioral approach to a complex problem

One of the challenges in analyzing nation-state cyber activity is attribution. Traditional approaches often rely on tracking specific threat groups, malware families, or infrastructure. But these change constantly, and in the case of Chinese-nexus operations, they often overlap.

Crimson Echo is the result of a retrospective analysis of three years of anomalous activity observed across the Darktrace fleet between July 2022 and September 2025. Using behavioral detection, threat hunting, open-source intelligence, and a structured attribution framework (the Darktrace Cybersecurity Attribution Framework), the team identified dozens of medium- to high-confidence cases and analyzed them for recurring operational patterns.  

This long-horizon, behavior-centric approach allows Darktrace to identify consistent patterns in how intrusions unfold, reinforcing that behavioral patterns that matter.  

What the data shows

Several clear trends emerged from the analysis:

  • Targeting is concentrated in strategically important sectors. Across the dataset, 88% of intrusions occurred in organizations classified as critical infrastructure, including transportation, critical manufacturing, telecommunications, government, healthcare, and Information Technology (IT) services.  
  • Strategically important Western economies are a primary focus. The US alone accounted for 22.5% of observed cases, and when combined with major European economies including Germany, Italy, Spain and the UK, over half of all intrusions (55%) were concentrated in these regions.  
  • Nearly 63% of intrusions of intrusions began with the exploitation of internet-facing systems, reinforcing the continued risk posed by externally exposed infrastructure.  

Two models of cyber operations

Across the dataset, Chinese-nexus activity followed two operational models.  

The first is best described as “smash and grab.” These are short-horizon intrusions optimized for speed. Attackers move quickly – often exfiltrating data within 48 hours – and prioritize scale over stealth. The median duration of these compromises is around 10 days. It’s clear they are willing to risk detection for short-term gain.  

The second is “low and slow.” These operations were less prevalent in the dataset, but potentially more consequential. Here, attackers prioritize persistence, establishing durable access through identity systems and legitimate administrative tools, so they can maintain access undetected for months or even years. In one notable case, the actor had fully compromised the environment and established persistence, only to resurface in the environment more than 600 days after. The operational pause underscores both the depth of the intrusion and the actor’s long‑term strategic intent. This suggests that cyber access is a strategic asset to preserve and leverage over time, and we observed these attacks most often inin sectors of the high strategic importance.  

It’s important to note that the same operational ecosystem can employ both models concurrently, selecting the appropriate model based on target value, urgency, intended access. The observation of a “smash and grab” model should not be solely interpreted as a failure of tradecraft, but instead an operational choice likely aligned with objectives. Where “low and slow” operations are optimized for patience, smash and grab is optimized for speed; both seemingly are deliberate operational choices, not necessarily indicators of capability.  

Rethinking cyber risk

For many organizations, cyber risk is still framed as a series of discrete events. Something happens, it is detected and contained, and the organization moves on. But persistent access, particularly in deeply interconnected environments that span cloud, identity-based SaaS and agentic systems, and complex supply chain networks, creates a major ongoing exposure risk. Even in the absence of disruption or data theft, that access can provide insight into operations, dependencies, and strategic decision-making. Cyber risk increasingly resembles long-term competitive intelligence.  

This has impact beyond the Security Operations Center. Organizations need to shift how they think about governance, visibility, and resilience, and treat cyber exposure as a structural business risk instead of an incident response challenge.  

What comes next

The goal of this research is to provide a clearer understanding of how these operations work, so defenders can recognize them earlier and respond more effectively. That includes shifting from tracking indicators to understanding behaviors, treating identity providers as critical infrastructure risks, expanding supplier oversight, investing in rapid containment capabilities, and more.  

Learn more about the findings of Darktrace’s latest research, Crimson Echo: Understanding Chinese-nexus Cyber Operations Through Behavioral Analysis, by downloading the full report and summaries for business leaders, CISOs, and SOC analysts here.  

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About the author
Nathaniel Jones
VP, Security & AI Strategy, Field CISO

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April 1, 2026

AI-powered security for a rapidly growing grocery enterprise

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Protecting a complex, fast-growing retail organization

For this multi-banner grocery holding organization, cybersecurity is considered an essential business enabler, protecting operations, growth, and customer trust. The organization’s lean IT team manages a highly distributed environment spanning corporate offices, 100+ stores, distribution centers and  thousands of endpoints, users, and third-party connections.

Mergers and acquisitions fueled rapid growth, but they also introduced escalating complexity that constrained visibility into users, endpoints, and security risks inherited across acquired environments.

Closing critical visibility gaps with limited resources

Enterprise-wide visibility is a top priority for the organization, says the  Vice President of Information Technology. “We needed insights beyond the perimeter into how users and devices were behaving across the organization.”

A security breach that occurred before the current IT leadership joined the company reinforced the urgency and elevated cybersecurity to an executive-level priority with a focus on protecting customer trust. The goal was to build a multi-layered security model that could deliver autonomous, enterprise-wide protection without adding headcount.

Managing cyber risk in M&A

Mergers and acquisitions are central to the grocery holding company’s growth strategy. But each transaction introduces new cyber risk, including inherited network architectures, inconsistent tooling, excessive privileges, and remnants of prior security incidents that were never fully remediated.

“Our M&A targets range from small chains with a single IT person and limited cyber tools to large chains with more developed IT teams, toolsets and instrumentation,” explains the VP of IT. “We needed a fast, repeatable, and reliable way to assess cyber risk before transactions closed.”

AI-driven security built for scale, speed, and resilience

Rather than layering additional point tools onto an already complex environment, the retailer adopted the Darktrace ActiveAI Security Platform™ in 2020 as part of a broader modernization effort to improve resilience, close visibility gaps, and establish a security foundation that could scale with growth.

“Darktrace’s AI-driven approach provided the ideal solution to these challenges,” shares the VP of IT. “It has empowered our organization to maintain a robust security strategy, ensuring the protection of our network and the smooth operation of our business.”

Enterprise-wide visibility into traffic  

By monitoring both north-south and east-west traffic and applying Self-Learning AI, Darktrace develops a dynamic understanding of how users and devices normally behave across locations, roles, and systems.

“Modeling normal behavior across the environment enables us to quickly spot behavior that doesn’t fit. Even subtle changes that could signal a threat but appear legitimate at first glance,” explains the VP of IT.

Real-time threat containment, 24/7

Adopting autonomous response has created operational breathing room for the security team, says the company’s Cybersecurity  Engineer.

“Early on, we enabled full Darktrace autonomous mode and we continue to do so today,” shares the IT Security Architect. “Allowing the technology to act first gives us the time we need to investigate incidents during business hours without putting the business at risk.”

Unified, actionable view of security ecosystem

The grocery retailer integrated Darktrace with its existing security ecosystem of firewalls, vulnerability management tools, and endpoint detection and response, and the VP of IT described the adoption process as “exceptionally smooth.”

The team can correlate enterprise-wide security data for a unified and actionable picture of all activity and risk. Using this “single pane of glass” approach, the retailer trains Level 1 and Level 2 operations staff to assist with investigations and user follow-ups, effectively extending the reach of the security function without expanding headcount.

From reactive defense to security at scale

With Darktrace delivering continuous visibility, autonomous containment, and integrated security workflows, the organization has strengthened its cybersecurity posture while improving operational efficiency. The result is a security model that not only reduces risk, but also supports growth, resilience, and informed decision-making at the business level.

Faster detection, faster resolution

With autonomous detection and response, the retailer can immediately contain risk while analysts investigate and validate activity. With this approach, the company can maintain continuous protection even outside business hours and reduce the chance of lateral spread across systems or locations.

Enterprise-grade protection with a lean team

From cloud environments to clients to SaaS collaboration tools, Darktrace provides holistic autonomous AI defense, processing petabytes of the organization’s network traffic and investigating millions of individual events that could be indicative of a wider incident.

Today, Darktrace autonomously conducts the majority of all investigations on behalf of the IT team, escalating only a tiny fraction for analyst review. The impact has been profound, freeing analysts from endless alerts and hours of triage so they can focus on more valuable, proactive, and gratifying work.

“From an operational perspective, Darktrace gives us time back,” says the Cybersecurity Engineer. More importantly, says the VP of IT, “it gives us peace of mind that we’re protected even if we’re not actively monitoring every alert.”

A strategic input for M&A decision-making

One of the most strategic outcomes has been the role of cybersecurity on M&A. 90 days prior to closing a transaction, the security team uses Darktrace alongside other tools to perform a cyber risk assessment of the potential acquisition. “Our approach with Darktrace has consistently identified gaps and exposed risks,” says the VP of IT, including:

  • Remnants of previous incidents that were never fully remediated
  • Network configurations with direct internet exposure
  • Excessive administrative privileges in Active Directory or on critical hosts

While security findings may not alter deal timelines, the VP of IT says they can have enormous business implications. “With early visibility into these risks, we can reduce exposure to inherited cyber threats, strengthen our position during negotiations, and establish clear remediation requirements.”

A security strategy built to evolve with the business

As the holding group expands its cloud footprint, it will extend Darktrace protections into Azure, applying the same AI-driven visibility and autonomous response to cloud workloads. The VP of IT says Darktrace's evolving capabilities will be instrumental in addressing the organization’s future cybersecurity needs and ability to adapt to the dynamic nature of cloud security.

“With Darktrace’s AI-driven approach, we have moved beyond reactive defense, establishing a resilient security foundation for confident expansion and modernization.”

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