Medusa ransomware tallies hundreds of new victims, says updated advisory on group’s tactics

The updated warning from the FBI, CISA and HHS draws on a year’s worth of investigations to detail how the group gains initial access and what it does afterward.

The ransomware-as-a-service group Medusa has adopted fresh tactics to gain access and added hundreds of victims in a little more than a year, according to an updated U.S. government advisory published Tuesday.

The gang is relying on access brokers,compensating them anywhere from $100 to $1 million, with higher prices going to those who work exclusively with Medusa. However, most of the brokers work simultaneously for “multiple variants at the same time,” the advisory from the Cybersecurity and Infrastructure Security Agency, FBI and Health and Human Services Department states in one of the updated portions of the advisory.

Tuesday’s update advisory expands upon aMarch 2025 advisory, drawing on ongoing FBI investigations.nIt includes information on the kinds of software vulnerabilities Medusa has exploited, such as Fortra GoAnywhere and BeyondTrust flaws.

“Medusa actors operate opportunistically by targeting victims with unpatched software rather than focusing on specific organizations or sectors; however, the Healthcare and Public Health (HPH) Sector has been a frequent victim of Medusa operations,” according to the advisory. “Medusa actors leverage newly announced exploits within 24 hours and have been observed to use exploits up to a week before public vulnerability disclosure.’

“However, there is no indication Medusa actors develop their own zero-day or N-day vulnerabilities, preferring instead to obtain advanced access to exploits from unknown sources or to quickly leverage newly announced exploits before potential victims can mitigate vulnerabilities through patching,” the advisory continues.

The approach appears to be netting gains: From March 2025 to April of this year, the victim tally in the advisory jumped from more than 300 to more than 500. The group was first identified in 2021.

“Medusa actors often use legitimate tools and living off the land techniques to evade detection. They may also leverage remote monitoring and management software and remote access services, including Remote Desktop Protocol, for lateral movement,” as updated sections of the advisory detail. “Once inside a network, they use common utilities and tools to support credential access, data exfiltration, and ransomware deployment.”

Earlier this year, Microsoft detailed how a group it dubbed Storm-1175 was making use of Medusa ransomware in speedy operations. Symantec and Carbon Black also detailed earlier this year how North Korean hackers were leaning on Medusa to target the health care sector.

Government

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Technology

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• Wyden seeks upgraded NSA security guidance on commercial VPN use

Threats

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• FBI raises alarm over deceptive phishing campaign targeting prominent people

Policy

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• Former sexual abuse victims say Grok used their images, videos to train deepfake capabilities

• Cyber threats nudge Trump to sign executive order on foreign equipment in U.S. energy infrastructure