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January 8, 2026

Under Medusa’s Gaze: How Darktrace Uncovers RMM Abuse in Ransomware Campaigns

Medusa ransomware increasingly exploits remote monitoring and management (RMM) tools for persistence, lateral movement, and data exfiltration. This blog explores Medusa’s tactics, real-world detections, and how anomaly-based solutions with Autonomous Response can stop attacks.
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
Signe Zaharka
Principal Cyber Analyst
medusa ransomwareDefault blog image
08
Jan 2026

What is Medusa Ransomware in 2025?

In 2025, the Medusa Ransomware-as-a-Service (RaaS) emerged as one of the top 10 most active ransomware threat actors [1]. Its growing impact prompted a joint advisory from the US Cybersecurity and Infrastructure Security Agency (CISA) and the Federal Bureau of Investigation (FBI) [3]. As of January 2026, more than 500 organizations have fallen victim to Medusa ransomware [2].

Darktrace previously investigated Medusa in a 2024 blog, but the group’s rapid expansion and new intelligence released in late 2025 has lead Darktrace’s Threat Research team to  investigate further. Recent findings include Microsoft’s research on Medusa actors exploiting a vulnerability in Fortra’s GoAnywhere MFT License Servlet (CVE-2025-10035)[4] and Zencec’s report on Medusa’s abuse of flaws in SimpleHelp’s remote support software (CVE-2024-57726, CVE-2024-57727, CVE-2024-57728) [5].

Reports vary on when Medusa first appeared in the wild. Some sources mention June 2021 as the earliest sightings, while others point to late 2022, when its developers transitioned to the RaaS model, as the true beginning of its operation [3][11].

Medusa Ransomware history and background

The group behind Medusa is known by several aliases, including Storm-1175 and Spearwing [4] [7]. Like its mythological namesake, Medusa has many “heads,” collaborating with initial access brokers (IABs) and, according to some evidence, affiliating with Big Game Hunting (BGH) groups such as Frozen Spider, as well as the cybercriminal group UNC7885 [3][6][13].

Use of Cyrillic in its scripts, activity on Russian-language cybercrime forums, slang unique to Russian criminal subcultures, and avoidance of targets in Commonwealth of Independent States (CIS) countries suggest that Medusa operates from Russia or an allied state [11][12].

Medusa ransomware should not be confused with other similarly named malware, such as the Medusa Android Banking Trojan, the Medusa Botnet/Medusa Stealer, or MedusaLocker ransomware. It is easily distinguishable from these variants because it appends the extension .MEDUSA to encrypted files and drops the ransom note !!!READ_ME_MEDUSA!!!.txt on compromised systems [8].

Who does Medusa Ransomware target?

The group appears to show little restraint, indiscriminately attacking organizations across all sectors, including healthcare, and is known to employ triple extortion tactics whereby sensitive data is encrypted, victims are threatened with data leaks, and additional pressure is applied through DDoS attacks or contacting the victim’s customers, rather than the more common double extortion model [13].

Medusa Ransomware TTPs

To attain initial access, Medusa actors typically purchase access to already compromised devices or accounts via IABs that employ phishing, credential stuffing, or brute-force attacks, and also target vulnerable or misconfigured Internet-facing systems.

In addition to the GoAnywhere MFT and SimpleHelp RMM flaws, other vulnerabilities exploited in Medusa attacks include ConnectWise ScreenConnect RMM (CVE-2024-1709), Microsoft Exchange Server (CVE-2021-34473, also known as ProxyShell), and Fortinet Enterprise Management Servers (CVE-2023-48788) [18][19][20][21][24][25].

Darktrace’s Coverage of Medusa Ransomware

Between December 2023 and November 2025, Darktrace observed multiple cases of file encryption related to Medusa ransomware across its customer base. When enabled, Darktrace’s Autonomous Response capability intervened early in the attack chain, blocking malicious activity before file encryption could begin.

Some of the affected were based in Europe, the Middle East and Africa (EMEA), others in the Americas (AMS), and the remainder in the Asia-Pacific and Japan region. The most impacted sectors were financial services and the automotive industry, followed by healthcare, and finally organizations in arts, entertainment and recreation, ICT, and manufacturing.

Remote Monitoring and Management (RMM) tool abuse

In most customer environments where Medusa file encryption attempts were observed, and in one case where the compromise was contained before encryption, unusual external HTTP connections associated with JWrapper were also detected. JWrapper is a legitimate tool designed to simplify the packaging, distribution, and management of Java applications, enabling the creation of executables that run across different operating systems. Many of the destination IP addresses involved in this activity were linked to SimpleHelp servers or associated with Atera.

Medusa actors appear to favor RMM tools such as SimpleHelp. Unpatched or misconfigured SimpleHelp RMM servers can serve as an initial access vector to the victims’ infrastructure.  After gaining access to SimpleHelp management servers, the threat actors edit server configuration files to redirect existing SimpleHelp RMM agents to communicate with unauthorized servers under their control.

The SimpleHelp tool is not only used for command-and-control (C2) and enabling persistence but is also observed during lateral movement within the network, downloading additional attack tools, data exfiltration, and even ransomware binary execution. Other legitimate remote access tools abused by Medusa in a similar manner to evade detection include Atera, AnyDesk, ScreenConnect, eHorus, N-able, PDQ Deploy/Inventory, Splashtop, TeamViewer, NinjaOne, Navicat, and MeshAgent [4][5][15][16][17].

Data exfiltration

Another correlation among Darktrace customers affected by Medusa was observed during the data exfiltration phase. In several environments, data was exfiltrated to the endpoints erp.ranasons[.]com or pruebas.pintacuario[.]mx (143.110.243[.]154, 144.217.181[.]205) over ports 443, 445, and 80. erp.ranasons[.]com was seemingly active between November 2024 and September 2025, while pruebas.pintacuario[.]mx was seen from November 2024 to March 2025. Evidence suggests that pruebas.pintacuario[.]mx previously hosted a SimpleHelp server [22][23].

Apart from RMM tools, Medusa is also known to use Rclone and Robocopy for data exfiltration [3][19]. During one Medusa compromise detected in mid-2024, the customer’s data was exfiltrated to external destinations associated with the Ngrok proxy service using an SSH-2.0-rclone client.

Medusa Compromise Leveraging SimpleHelp

In Q4 2025, Darktrace assisted a European company impacted by Medusa ransomware. The organization had partial Darktrace / NETWORK coverage and had configured Darktrace’s Autonomous Response capability to require manual confirmation for all actions. Despite these constraints, data received through the customer’s security integration with CrowdStrike Falcon enabled Darktrace analysts to reconstruct the attack chain, although the initial access vector remains unclear due to limited visibility.

In late September 2025, a device out of the scope of Darktrace's visibility began scanning the network and using RDP, NTLM/SMB, DCE_RPC, and PowerShell for lateral movement.

CrowdStrike “Defense Evasion: Disable or Modify Tools” alerts related to a suspicious driver (c:\windows\[0-9a-b]{4}.exe) and a PDQ Deploy executable (share=\\<device_hostname>\ADMIN$ file=AdminArsenal\PDQDeployRunner\service-1\exec\[0-9a-b]{4}.exe) suggest that the attackers used the Bring Your Own Vulnerable Driver (BYOVD) technique to terminate antivirus processes on network devices, leveraging tools such as KillAV or AbyssWorker along with the PDQ Software Deployment solution [19][26].

A few hours later, Darktrace observed the same device that had scanned the network writing Temp\[a-z]{2}.exe over SMB to another device on the same subnet. According to data from the CrowdStrike alert, this executable was linked to an RMM application located at C:\Users\<compromised_user>\Documents\[a-z]{2}.exe. The same compromised user account later triggered a CrowdStrike “Command and Control: Remote Access Tools” alert when accessing C:\ProgramData\JWrapper-Remote Access\JWrapper-Remote Access Bundle-[0-9]{11}\JWrapperTemp-[0-9]{10}-[0-9]{1}-app\bin\windowslauncher.exe [27].

An executable file associated with the SimpleHelp RMM tool being written to other devices using the SMB protocol, as detected by Darktrace.
Figure 1: An executable file associated with the SimpleHelp RMM tool being written to other devices using the SMB protocol, as detected by Darktrace.

Soon after, the destination device and multiple other network devices began establishing connections to 31.220.45[.]120 and 213.183.63[.]41, both of which hosted malicious SimpleHelp RMM servers. These C2 connections continued for more than 20 days after the initial compromise.

CrowdStrike integration alerts for the execution of robocopy . "c:\windows\\" /COPY:DT /E /XX /R:0 /W:0 /NP /XF RunFileCopy.cmd /IS /IT commands on several Windows servers, suggested that this utility was likely used to stage files in preparation for data exfiltration [19].

Around two hours later, Darktrace detected another device connecting to the attacker’s SimpleHelp RMM servers. This internal server had ‘doc’ in its hostname, indicating it was likely a file server. It was observed downloading documents from another internal server over SMB and uploading approximately 70 GiB of data to erp.ranasons[.]com (143.110.243[.]154:443).

Data uploaded to erp.ranasons[.]com and the number of model alerts from the exfiltrating device, represented by yellow and orange dots.
Figure 2: Data uploaded to erp.ranasons[.]com and the number of model alerts from the exfiltrating device, represented by yellow and orange dots.

Darktrace’s Cyber AI Analyst autonomously investigated the unusual connectivity, correlating the separate C2 and data exfiltration events into a single incident, providing greater visibility into the ongoing attack.

Cyber AI Analyst identified a file server making C2 connections to an attacker-controlled SimpleHelp server (213.183.63[.]41) and exfiltrating data to erp.ranasons[.]com.
Figure 3: Cyber AI Analyst identified a file server making C2 connections to an attacker-controlled SimpleHelp server (213.183.63[.]41) and exfiltrating data to erp.ranasons[.]com.
The same file server that connected to 213.183.63[.]41 and exfiltrated data to erp.ranasons[.]com was also observed attempting to connect to an IP address associated with Moscow, Russia (193.37.69[.]154:7070).
Figure 4: The same file server that connected to 213.183.63[.]41 and exfiltrated data to erp.ranasons[.]com was also observed attempting to connect to an IP address associated with Moscow, Russia (193.37.69[.]154:7070).

One of the devices connecting to the attacker's SimpleHelp RMM servers was also observed downloading 35 MiB from [0-9]{4}.filemail[.]com. Filemail, a legitimate file-sharing service, has reportedly been abused by Medusa actors to deliver additional malicious payloads [11].

A device controlled remotely via SimpleHelp downloading additional tooling from the Filemail file-sharing service.
Figure 5: A device controlled remotely via SimpleHelp downloading additional tooling from the Filemail file-sharing service.

Finally, integration alerts related to the ransomware binary, such as c:\windows\system32\gaze.exe and <device_hostname>\ADMIN$ file=AdminArsenal\PDQDeployRunner\service-1\exec\gaze.exe, along with “!!!READ_ME_MEDUSA!!!.txt” ransom notes were observed on network devices. This indicates that file encryption in this case was most likely carried out directly on the victim hosts rather than via the SMB protocol [3].

Conclusion

Threat actors, including nation-state actors and ransomware groups like Medusa, have long abused legitimate commercial RMM tools, typically used by system administrators for remote monitoring, software deployment, and device configuration, instead of relying on remote access trojans (RATs).

Attackers employ existing authorized RMM tools or install new remote administration software to enable persistence, lateral movement, data exfiltration, and ingress tool transfer. By mimicking legitimate administrative behavior, RMM abuse enables attackers to evade detection, as security software often implicitly trusts these tools, allowing attackers to bypass traditional security controls [28][29][30].

To mitigate such risks, organizations should promptly patch publicly exposed RMM servers and adopt anomaly-based detection solutions, like Darktrace / NETWORK, which can distinguish legitimate administrative activity from malicious behavior, applying rapid response measures through its Autonomous Response capability to stop attacks in their tracks.

Darktrace delivers comprehensive network visibility and Autonomous Response capabilities, enabling real-time detection of anomalous activity and rapid mitigation, even if an organization fall under Medusa’s gaze.

Credit to Signe Zaharka (Principal Cyber Analyst) and Emma Foulger (Global Threat Research Operations Lead

Edited by Ryan Traill (Analyst Content Lead)

Appendices

List of Indicators of Compromise (IoCs)

IoC - Type - Description + Confidence + Time Observed

185.108.129[.]62 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - March 7, 2023

185.126.238[.]119 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - November 26-27, 2024

213.183.63[.]41 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - November 28, 2024 - Sep 30, 2025

213.183.63[.]42 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - July 4 -9 , 2024

31.220.45[.]120 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - September 12 - Oct 20 , 2025

91.92.246[.]110 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - May 24, 2024

45.9.149[.]112:15330 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - June 21, 2024

89.36.161[.]12 IP address Malicious SimpleHelp server observed during Medusa attacks (High confidence) - June 26-28, 2024

193.37.69[.]154:7070 IP address Suspicious RU IP seen on a device being controlled via SimpleHelp and exfiltrating data to a Medusa related endpoint - September 30 - October 20, 2025

erp.ranasons[.]com·143.110.243[.]154 Hostname Data exfiltration destination - November 27, 2024 - September 30, 2025

pruebas.pintacuario[.]mx·144.217.181[.]205 - Hostname Data exfiltration destination - November 27, 2024  -  March 26, 2025

lirdel[.]com · 44.235.83[.]125/a.msi (1b9869a2e862f1e6a59f5d88398463d3962abe51e19a59) File & hash Atera related file downloaded with PowerShell - June 20, 2024

wizarr.manate[.]ch/108.215.180[.]161:8585/$/1dIL5 File Suspicious file observed on one of the devices exhibiting unusual activity during a Medusa compromise - February 28, 2024

!!!READ_ME_MEDUSA!!!.txt" File - Ransom note

*.MEDUSA - File extension        File extension added to encrypted files

gaze.exe – File - Ransomware binary

Darktrace Model Coverage

Darktrace / NETWORK model detections triggered during connections to attacker controlled SimpleHelp servers:

Anomalous Connection/Anomalous SSL without SNI to New External

Anomalous Connection/Multiple Connections to New External UDP Port

Anomalous Connection/New User Agent to IP Without Hostname

Anomalous Connection/Rare External SSL Self-Signed

Anomalous Connection/Suspicious Self-Signed SSL

Anomalous File/EXE from Rare External Location

Anomalous Server Activity/Anomalous External Activity from Critical Network Device

Anomalous Server Activity/New User Agent from Internet Facing System

Anomalous Server Activity/Outgoing from Server

Anomalous Server Activity/Rare External from Server

Compromise/High Volume of Connections with Beacon Score

Compromise/Large Number of Suspicious Failed Connections

Compromise/Ransomware/High Risk File and Unusual SMB

Device/New User Agent

Unusual Activity/Unusual External Data to New Endpoint

Unusual Activity/Unusual External Data Transfer

Darktrace / NETWORK Model Detections during the September/October 2025 Medusa attack:

Anomalous Connection / Data Sent to Rare Domain

Anomalous Connection / Download and Upload

Anomalous Connection / Low and Slow Exfiltration

Anomalous Connection / New User Agent to IP Without Hostname

Anomalous Connection / Uncommon 1 GiB Outbound

Anomalous Connection / Unusual Admin RDP Session

Anomalous Connection / Unusual Incoming Long Remote Desktop Session

Anomalous Connection / Unusual Long SSH Session

Anomalous File / EXE from Rare External Location

Anomalous File / Internal/Unusual Internal EXE File Transfer

Anomalous Server Activity / Anomalous External Activity from Critical Network Device

Anomalous Server Activity / Outgoing from Server

Anomalous Server Activity / Rare External from Server

Compliance / Default Credential Usage

Compliance / High Priority Compliance Model Alert

Compliance / Outgoing NTLM Request from DC

Compliance / Possible Unencrypted Password File On Server

Compliance / Remote Management Tool On Server

Compromise / Large Number of Suspicious Failed Connections

Compromise / Large Number of Suspicious Successful Connections

Compromise / Ransomware/High Risk File and Unusual SMB

Compromise / Suspicious Beaconing Behaviour

Compromise / Suspicious HTTP and Anomalous Activity

Compromise / Sustained SSL or HTTP Increase

Compromise / Sustained TCP Beaconing Activity To Rare Endpoint

Device / ICMP Address Scan

Device / Increase in New RPC Services

Device / Initial Attack Chain Activity

Device / Large Number of Model Alert

Device / Large Number of Model Alerts from Critical Network Device

Device / Lateral Movement and C2 Activity

Device / Multiple C2 Model Alert

Device / Network Scan

Device / Possible SMB/NTLM Reconnaissance

Device / Spike in LDAP Activity

Device / Suspicious Network Scan Activity

Device / Suspicious SMB Scanning Activity

Security Integration / High Severity Integration Incident

Security Integration / Low Severity Integration Incident

Unusual Activity / Enhanced Unusual External Data Transfer

Unusual Activity / Internal Data Transfer

Unusual Activity / Unusual External Activity

Unusual Activity / Unusual External Data to New Endpoint

Unusual Activity / Unusual External Data Transfer

User / New Admin Credentials on Server

Autonomous Response Actions

Antigena / Network/External Threat/Antigena File then New Outbound Block

Antigena / Network/External Threat/Antigena Ransomware Block

Antigena / Network/External Threat/Antigena Suspicious Activity Block

Antigena / Network/External Threat/Antigena Suspicious File Block

Antigena / Network/Insider Threat/Antigena Internal Anomalous File Activity

Antigena / Network/Insider Threat/Antigena Internal Data Transfer Block

Antigena / Network/Insider Threat/Antigena Large Data Volume Outbound Block

Antigena / Network/Insider Threat/Antigena Network Scan Block

Antigena / Network/Insider Threat/Antigena Unusual Privileged User Activities Block

Antigena / Network/Significant Anomaly/Antigena Alerts Over Time Block

Antigena / Network/Significant Anomaly/Antigena Controlled and Model Alert

Antigena / Network/Significant Anomaly/Antigena Enhanced Monitoring from Server Block

Antigena / Network/Significant Anomaly/Antigena Significant Server Anomaly Block

Antigena / Network/Significant Anomaly/Repeated Antigena Alerts

MITRE ATT&CK Mapping

Technique Name, Tactic, ID, Sub-Technique

Application Layer Protocol , COMMAND AND CONTROL , T1071

Automated Collection , COLLECTION , T1119

Automated Exfiltration , EXFILTRATION , T1020

Brute Force , CREDENTIAL ACCESS , T1110

Client Configurations , RECONNAISSANCE , T1592.004 , T1592

Cloud Accounts , DEFENSE EVASION ,  PERSISTENCE ,  PRIVILEGE ESCALATION ,  INITIAL ACCESS , T1078.004 , T1078

Command-Line Interface , EXECUTION ICS , T0807

Credential Stuffing , CREDENTIAL ACCESS , T1110.004 , T1110

Data Encrypted for Impact , IMPACT , T1486

Data from Network Shared Drive , COLLECTION , T1039

Data Obfuscation , COMMAND AND CONTROL , T1001

Data Staged , COLLECTION , T1074

Data Transfer Size Limits , EXFILTRATION , T1030

Default Accounts , DEFENSE EVASION ,  PERSISTENCE ,  PRIVILEGE ESCALATION ,  INITIAL ACCESS , T1078.001 , T1078

Default Credentials , LATERAL MOVEMENT ICS , T0812

Distributed Component Object Model , LATERAL MOVEMENT , T1021.003 , T1021

Drive-by Compromise , INITIAL ACCESS ICS , T0817

Drive-by Compromise , INITIAL ACCESS , T1189

Email Collection , COLLECTION , T1114

Exfiltration Over Alternative Protocol , EXFILTRATION , T1048

Exfiltration Over C2 Channel , EXFILTRATION , T1041

Exfiltration to Cloud Storage , EXFILTRATION , T1567.002 , T1567

Exploit Public-Facing Application , INITIAL ACCESS , T1190

Exploitation for Privilege Escalation , PRIVILEGE ESCALATION , T0890

Exploitation of Remote Services , LATERAL MOVEMENT , T1210

Exploits , RESOURCE DEVELOPMENT , T1588.005 , T1588

File and Directory Discovery , DISCOVERY , T1083

File Deletion , DEFENSE EVASION , T1070.004 , T1070

Graphical User Interface , EXECUTION ICS , T0823

Ingress Tool Transfer , COMMAND AND CONTROL , T1105

Lateral Tool Transfer , LATERAL MOVEMENT , T1570

LLMNR/NBT-NS Poisoning and SMB Relay , CREDENTIAL ACCESS ,  COLLECTION , T1557.001 , T1557

Malware , RESOURCE DEVELOPMENT , T1588.001 , T1588

Network Service Scanning , DISCOVERY , T1046

Network Share Discovery , DISCOVERY , T1135

Non-Application Layer Protocol , COMMAND AND CONTROL , T1095

Non-Standard Port , COMMAND AND CONTROL , T1571

One-Way Communication , COMMAND AND CONTROL , T1102.003 , T1102

Pass the Hash , DEFENSE EVASION ,  LATERAL MOVEMENT , T1550.002 , T1550

Password Cracking , CREDENTIAL ACCESS , T1110.002 , T1110

Password Guessing , CREDENTIAL ACCESS , T1110.001 , T1110

Password Spraying , CREDENTIAL ACCESS , T1110.003 , T1110

Program Download , LATERAL MOVEMENT ICS , T0843

Program Upload , COLLECTION ICS , T0845

Remote Access Software , COMMAND AND CONTROL , T1219

Remote Desktop Protocol , LATERAL MOVEMENT , T1021.001 , T1021

Remote System Discovery , DISCOVERY , T1018

Scanning IP Blocks , RECONNAISSANCE , T1595.001 , T1595

Scheduled Transfer , EXFILTRATION , T1029

Spearphishing Attachment , INITIAL ACCESS ICS , T0865

Standard Application Layer Protocol , COMMAND AND CONTROL ICS , T0869

Supply Chain Compromise , INITIAL ACCESS ICS , T0862

User Execution , EXECUTION ICS , T0863

Valid Accounts , DEFENSE EVASION ,  PERSISTENCE ,  PRIVILEGE ESCALATION ,  INITIAL ACCESS , T1078

Valid Accounts , PERSISTENCE ICS ,  LATERAL MOVEMENT ICS , T0859

Vulnerabilities , RESOURCE DEVELOPMENT , T1588.006 , T1588

Vulnerability Scanning , RECONNAISSANCE , T1595.002 , T1595

Web Protocols , COMMAND AND CONTROL , T1071.001 , T1071

References

1. https://www.intel471.com/blog/threat-hunting-case-study-medusa-ransomware

2. https://www.ransomware.live/group/medusa

3. https://www.cisa.gov/news-events/cybersecurity-advisories/aa25-071a

4. https://www.microsoft.com/en-us/security/blog/2025/10/06/investigating-active-exploitation-of-cve-2025-10035-goanywhere-managed-file-transfer-vulnerability/

5. https://zensec.co.uk/blog/how-rmm-abuse-fuelled-medusa-dragonforce-attacks/

6. https://www.checkpoint.com/cyber-hub/threat-prevention/ransomware/medusa-ransomware-group/

7. https://cyberpress.org/medusa-ransomware-attacks-spike-42/

8. https://blog.barracuda.com/2025/02/25/medusa-ransomware-and-its-cybercrime-ecosystem

10. https://www.cyberdaily.au/security/10021-more-monster-than-myth-unpacking-the-medusa-ransomware-operation

11. https://unit42.paloaltonetworks.com/medusa-ransomware-escalation-new-leak-site/

12. https://www.bitdefender.com/en-us/blog/businessinsights/medusa-ransomware-a-growing-threat-with-a-bold-online-presence

13. https://redpiranha.net/news/medusa-ransomware-everything-you-need-know

14.  https://www.theregister.com/2025/03/13/medusa_ransomware_infects_300_critical/

15. https://www.s-rminform.com/latest-thinking/cyber-threat-advisory-medusa-and-the-simplehelp-vulnerability

16. https://nagomisecurity.com/medusa-ransomware-us-cert-alert

17. https://arcticwolf.com/resources/blog/arctic-wolf-observes-campaign-exploiting-simplehelp-rmm-software-for-initial-access/

18. https://securityboulevard.com/2025/04/medusa-ransomware-inside-the-2025-resurgence-of-one-of-the-internets-most-aggressive-threats/

19. https://thehackernews.com/2025/03/medusa-ransomware-hits-40-victims-in.html

20.  https://www.quorumcyber.com/threat-intelligence/critical-alert-medusa-ransomware-threat-highlighted-by-fbi-cisa-and-ms-isac/

21. https://brandefense.io/blog/stone-gaze-in-depth-analysis-of-medusa-ransomware/

22. https://www.darktrace.com/ja/blog/2025-cyber-threat-landscape-darktraces-mid-year-review

23. https://www.joesandbox.com/analysis/1576447/0/html

24. https://blog.barracuda.com/2025/02/25/medusa-ransomware-and-its-cybercrime-ecosystem

25. https://shassit.mit.edu/news/medusa-ransomware-attacks-on-gmail/

26. https://thehackernews.com/2025/03/medusa-ransomware-uses-malicious-driver.html

27. https://www.cisa.gov/news-events/cybersecurity-advisories/aa25-163a

28. https://www.catonetworks.com/blog/cato-ctrl-investigation-of-rmm-tools/

29. https://redcanary.com/threat-detection-report/trends/rmm-tools/

30. https://www.proofpoint.com/us/blog/threat-insight/remote-monitoring-and-management-rmm-tooling-increasingly-attackers-first-choice

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
Signe Zaharka
Principal Cyber Analyst

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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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