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Threat Assessment: Ryuk Ransomware

Unit 42 assesses Ryuk ransomware amid a CISA/FBI/HHS alert on threats to U.S. healthcare, including the UHS attack that disrupted hospital operations.

A joint CISA, FBI, and HHS alert on October 28, 2020 warned of an imminent threat to U.S. healthcare from operators deploying Trickbot and Ryuk ransomware. Universal Health Services reported a Ryuk attack that disrupted all U.S. UHS sites for weeks, with similar incidents at hospitals in Oregon and New York. Ryuk typically arrives after Trickbot or BazaLoader infections delivered via malicious email, and operators enumerate networks with PowerShell and WMI before encryption. The Trickbot Anchor_DNS module performs DNS tunneling for C2, using connectivity checks to benign domains like ipinfo.io and checkip.amazonaws.com.

Palo Alto Unit 42 · Aug 17, 2026Ransomware in the wild

Threat Brief: Maze Ransomware

Unit 42 issued a threat brief on Maze ransomware, noting an uptick across industries and exploitation of Pulse VPN and IE flaws for initial access.

Palo Alto Networks detected an uptick in Maze ransomware samples across finance, healthcare, government, and other sectors. Maze, a variant of ChaCha ransomware first seen in May 2019, is distributed via weaponized Word/Excel attachments and the Spelevo exploit kit leveraging CVE-2018-15982 and CVE-2018-4878, and has used CVE-2019-11510 (Pulse VPN) and CVE-2018-8174 (Internet Explorer). Operators establish a foothold, escalate privileges, move laterally, and exfiltrate files before encryption for extortion leverage.

Palo Alto Unit 42 · Aug 17, 2026Ransomware in the wildCVE-2018-15982CVE-2018-4878CVE-2019-11510+1 CVEs

ATF confirms cyberattack hit system containing info on its investigation targets

Qilin ransomware group claimed breaching the ATF, exposing data on investigation targets; the agency says a standalone system was hit with no mission impact.

The Bureau of Alcohol, Tobacco, Firearms and Explosives confirmed a cyberattack on a standalone system holding information about targets of ATF investigations, designated a major incident, with no impact on case management, lab, or eForms systems. Qilin, a Russian-speaking affiliate-based ransomware group, claimed responsibility, though ATF declined to confirm involvement or the root cause. Qilin has claimed hundreds of victims across 60+ countries since 2022 and partners with Scattered Spider and Moonstone Sleet.

CyberScoop · 19d agoRansomware in the wild

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

CISA, FBI, and HHS updated their Medusa ransomware advisory, reporting over 500 victims and detailing the gang's access-broker and exploit tactics.

A joint advisory update from CISA, the FBI, and HHS expands the March 2025 Medusa guidance, drawing on a year of FBI investigations. The ransomware-as-a-service group's known victim tally grew from more than 300 to more than 500 between March 2025 and April 2026, with the Healthcare and Public Health sector frequently hit. Medusa pays access brokers $100 to $1 million, has exploited flaws such as Fortra GoAnywhere and BeyondTrust vulnerabilities, and leverages newly announced exploits within 24 hours, sometimes a week before public disclosure. The group uses living-off-the-land techniques, remote monitoring and management software, and RDP for lateral movement, and has been linked to actors including Microsoft-tracked Storm-1175 and North Korean hackers targeting healthcare.

CyberScoop · 29d agoRansomware in the wild