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October 26, 2022

Securing Patient Data at Cullman Regional Medical Center

Discover how Cullman Regional Medical Center safeguards patient data with Darktrace AI. Learn how to keep sensitive data protected with the Darktrace 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
Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)
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26
Oct 2022

Cullman Regional Medical Center strives to improve the health of our community by providing excellent medical resources. We have over 50 providers offering a wide range of specialized care across our offices in Cullman and Hartselle, Alabama. 

To deliver the best services possible, we rely on technology. Staff members record medical histories in digital files. Guests interact with us through online portals. Medical IoT devices collect patient data. Yet the same digital adoptions that make healthcare more efficient also present vulnerabilities that threat actors can exploit to gain access to our digital systems. 

Another major concern comes from insider threat, whether malicious or accidental. Data security depends on user compliance, which can be hard to enforce and monitor. Even unintentionally, medical professionals can introduce risk simply by bringing personal devices, such as smart phones or watches, into the network.  

In late 2020, the FBI, CISA, and HHS issued a warning after the number of cyber-attacks targeting the healthcare sector reached record highs. The agencies cautioned that cybercriminals could exploit malware like TrickBot to harvest credentials, hijack resources to mine crypto-currencies, exfiltrate data, and deploy ransomware. 

The attacks targeting the healthcare sector have gone up in frequency and complexity. While protecting our digital infrastructure and patient data has become increasingly difficult, it remains vitally important. That’s why we deployed Darktrace.

High stakes healthcare security

The consequences of cyber-attacks in medicine can be devastating. Lost or stolen medical records can damage a hospital’s reputation and cost millions of dollars. According to a Ponemon Institute study, the financial cost of a data breach in the healthcare sector can cost two to three times more than a breach in any other industry.  

Beyond reputational or financial harm, cyber-attacks against hospitals and clinics can be lethal. They can force ambulances to be re-routed, surgeries to be postponed, and treatment options to be scaled back. In 2021, over 45 million patients were impacted by cyber-attacks on healthcare centers, and almost 25% of Health Delivery Organizations found that cyber-attacks increased patient mortality rates.

Darktrace protects our digital infrastructure to avoid these consequences. Its Self-Learning AI learns our organization— from the laptops and servers to the IoT devices to the users themselves— to recognize what constitutes our “pattern of life.” The AI then uses this information to identify the subtle behaviors that indicate a cyber-attack. Once an attack is detected, Autonomous Response reacts with surgical precision to neutralize it without disrupting our normal digital activity.  

Darktrace is always on and can detect and respond to attacks within seconds, providing another layer of security for our hospital and clinics. Darktrace’s approach, based on understanding our organization to create bespoke security, allows the AI to spot threats that slip by traditional security tools, which rely on rules and signatures. In this way, Darktrace can detect insider threats, too.  

Finally, not only does Darktrace protect us by stopping cyber-attacks, but it also serves as a deterrent to threat actors by making us a harder target. 

Protection in action

Darktrace has successfully helped us monitor and protect our digital estate. We have used it to examine suspicious traffic and troubleshoot access related problems. Darktrace’s Cyber AI Analyst investigates attacks and translates its findings into understandable explanations displayed in a single screen.  

Darktrace has proven its value to us on multiple occasions. The same day that one of our clinic managers installed a new file transfer protocol, Darktrace identified traffic going out over an unencrypted port. With its visibility and understanding of our cyber landscape, Darktrace detected this abnormal action and responded at machine-speed. It protected us from exposing personal patient data.

Another time, Darktrace noticed someone on our guest network running a network snooping tool, triggering us to remove their computer from the network. While it was only on our guest network, the threat actor could have been targeting the patients that were using it. Darktrace protected them, helping us live up to our goal of serving our guests with compassion and respect.

Keeping our organization healthy

We do not have a large enough IT staff to constantly monitor all traffic across our digital estate, so Darktrace supplements and augments our team. The AI continuously monitors our cyber landscape and responds to attacks without disrupting our normal digital activities. Moreover, it works at all times of the day, even when I am not online. By handling the maintenance of our security, Darktrace buys my team time to work on other projects. 

The cyber security of our organization is crucial for the safety of our patients and practitioners. Since deploying Darktrace, my team feels reassured that our security posture can handle any attacks that come our way. Darktrace is a valuable tool in our security stack. 

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
Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)

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March 10, 2026

NetSupport RAT: How Legitimate Tools Can Be as Damaging as Malware

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What is NetSupport Manager?

NetSupport Manager is a legitimate IT tool used by system administrators for remote support, monitoring, and management. In use since 1989, NetSupport Manager enables users to remotely access and navigate systems across different platforms and operating systems [1].

What is NetSupport RAT?

Although NetSupport Manager is a legitimate tool that can be used by IT and security professionals, there has been a rising number of cases in which it is abused to gain unauthorized access to victim systems. This misuse has become so prevalent that, in recent years, security researchers have begun referring to NetSupport as a Remote Access Trojan (RAT), a term typically used for malware that enables a threat actor to remotely access or control an infected device [2][3][4].

NetSupport RAT activity summary

The initial stages of NetSupport RAT infection may vary depending on the source of the initial compromise. Using tactics such as the social engineering tactic ClickFix, threat actors attempt to trick users into inadvertently executing malicious PowerShell commands under the guise of resolving a non-existent issue or completing a fake CAPTCHA verification [5]. Other attack vectors such as phishing emails, fake browser updates, malicious websites, search engine optimization (SEO) poisoning, malvertising and drive-by downloads are also employed to direct users to fraudulent pages and fake reCAPTCHA verification checks, ultimately inducing them to execute malicious PowerShell commands [5][6][7]. This leads to the successful installation of NetSupport Manager on the compromised device, which is often placed in non-standard directories such as AppData, ProgramData, or Downloads [3][8].

Once installed, the adversary is able to gain remote access to the affected machine, monitor user activity, exfiltrate data, communicate with the command-and-control (C2) server, and maintain persistence [5]. External research has also highlighted that post-exploitation of NetSupport RAT has involved the additional download of malicious payloads [2][5].

Attack flow diagram highlighting key events across each phase of the attack phase
Figure 1: Attack flow diagram highlighting key events across each phase of the attack phase [2][5].

Darktrace coverage

In November of 2025, suspicious behavior indicative of the malicious abuse of NetSupport Manager was observed on multiple customers across Europe, the Middle East, and Africa (EMEA) and the Americas (AMS).

While open-source intelligence (OSINT) has reported that, in a recent campaign, a threat actor impersonated government entities to trick users in organizations in the Information Technology, Government and Financial Services sectors in Central Asia into downloading NetSupport Manager [8], approximately a third of Darktrace’s affected customers in November were based in the US while the rest were based in EMEA. This contrast underscores how widely NetSupport Manager is leveraged by threat actors and highlights its accessibility as an initial access tool.  

The Darktrace customers affected were in sectors including Information and Communication, Manufacturing and Arts, entertainment and recreation.

The ClickFix social engineering tactic typically used to distribute the NetSupport RAT is known to target multiple industries, including Technology, Manufacturing and Energy sectors [9]. It also reflects activity observed in the campaign targeting Central Asia, where the Information Technology sector was among those affected [8].

The prevalence of affected Education customers highlights NetSupport’s marketing focus on the Education sector [10]. This suggests that threat actors are also aware of this marketing strategy and have exploited the trust it creates to deploy NetSupport Manager and gain access to their targets’ systems. While the execution of the PowerShell commands that led to the installation of NetSupport Manager falls outside of Darktrace's purview in cases identified, Darktrace was still able to identify a pattern of devices making connections to multiple rare external domains and IP addresses associated with the NetSupport RAT, using a wide range of ports over the HTTP protocol. A full list of associated domains and IP addresses is provided in the Appendices of this blog.

Although OSINT identifies multiple malicious domains and IP addresses as used as C2 servers, signature-based detections of NetSupport RAT indicators of compromise (IoCs) may miss broader activity, as new malicious websites linked to the RAT continue to appear.

Darktrace’s anomaly‑based approach allows it to establish a normal ‘pattern of life’ for each device on a network and identify when behavior deviates from this baseline, enabling the detection of unusual activity even when it does not match known IoCs or tactics, techniques and procedures (TTPs).

In one customer environment in late 2025, Darktrace / NETWORK detected a device initiating new connections to the rare external endpoint, thetavaluemetrics[.]com (74.91.125[.]57), along with the use of a previously unseen user agent, which it recognized as highly unusual for the network.

Darktrace’s detection of HTTP POST requests to a suspicious URI and new user agent usage.
Figure 2: Darktrace’s detection of HTTP POST requests to a suspicious URI and new user agent usage.

Darktrace identified that user agent present in connections to this endpoint was the ‘NetSupport Manager/1.3’, initially suggesting legitimate NetSupport Manager activity. Subsequent investigation, however, revealed that the endpoint was in fact a malicious NetSupportRAT C2 endpoint [12]. Shortly after, Darktrace detected the same device performing HTTP POST requests to the URI fakeurl[.]htm. This pattern of activity is consistent with OSINT reporting that details communication between compromised devices and NetSupport Connectivity Gateways functioning as C2 servers [11].

Conclusion

As seen not only with NetSupport Manager but with any legitimate or open‑source software used by IT and security professionals, the legitimacy of a tool does not prevent it from being abused by threat actors. Open‑source software, especially tools with free or trial versions such as NetSupport Manager, remains readily accessible for malicious use, including network compromise. In an age where remote work is still prevalent, validating any anomalous use of software and remote management tools is essential to reducing opportunities for unauthorized access.

Darktrace’s anomaly‑based detection enables security teams to identify malicious use of legitimate tools, even when clear signatures or indicators of compromise are absent, helping to prevent further impact on a network.


Credit to George Kim (Analyst Consulting Lead – AMS), Anna Gilbertson (Senior Cyber Analyst)

Edited by Ryan Traill (Analyst Content Lead)

Appendices

Darktrace Model Alerts

·       Compromise / Suspicious HTTP and Anomalous Activity

·       Compromise / New User Agent and POST

·       Device / New User Agent

·       Anomalous Connection / New User Agent to IP Without Hostname

·       Anomalous Connection / Posting HTTP to IP Without Hostname

·       Anomalous Connection / Multiple Failed Connections to Rare Endpoint

·       Anomalous Connection / Application Protocol on Uncommon Port

·       Anomalous Connection / Multiple HTTP POSTs to Rare Hostname

·       Compromise / Beaconing Activity To External Rare

·       Compromise / HTTP Beaconing to Rare Destination

·       Compromise / Agent Beacon (Medium Period)

·       Compromise / Agent Beacon (Long Period)

·       Compromise / Quick and Regular Windows HTTP Beaconing

·       Compromise / Sustained TCP Beaconing Activity To Rare Endpoint

·       Compromise / POST and Beacon to Rare External

Indicators of Compromise (IoCs)

Indicator           Type     Description

/fakeurl.htm URI            NetSupportRAT C2 URI

thetavaluemetrics[.]com        Connection hostname              NetSupportRAT C2 Endpoint

westford-systems[.]icu            Connection hostname              NetSupportRAT C2 Endpoint

holonisz[.]com                Connection hostname              NetSupportRAT C2 Endpoint

heaveydutyl[.]com      Connection hostname              NetSupportRAT C2 Endpoint

nsgatetest1[.]digital   Connection hostname              NetSupportRAT C2 Endpoint

finalnovel[.]com            Connection hostname              NetSupportRAT C2 Endpoint

217.91.235[.]17              IP             NetSupportRAT C2 Endpoint

45.94.47[.]224                 IP             NetSupportRAT C2 Endpoint

74.91.125[.]57                 IP             NetSupportRAT C2 Endpoint

88.214.27[.]48                 IP             NetSupportRAT C2 Endpoint

104.21.40[.]75                 IP             NetSupportRAT C2 Endpoint

38.146.28[.]242              IP             NetSupportRAT C2 Endpoint

185.39.19[.]233              IP             NetSupportRAT C2 Endpoint

45.88.79[.]237                 IP             NetSupportRAT C2 Endpoint

141.98.11[.]224              IP             NetSupportRAT C2 Endpoint

88.214.27[.]166              IP             NetSupportRAT C2 Endpoint

107.158.128[.]84          IP             NetSupportRAT C2 Endpoint

87.120.93[.]98                 IP             Rhadamanthys C2 Endpoint

References

1.         https://mspalliance.com/netsupport-debuts-netsupport-24-7/

2.         https://blogs.vmware.com/security/2023/11/netsupport-rat-the-rat-king-returns.html

3.          https://redcanary.com/threat-detection-report/threats/netsupport-manager/

4.         https://www.elastic.co/guide/en/security/8.19/netsupport-manager-execution-from-an-unusual-path.html

5.          https://rewterz.com/threat-advisory/netsupport-rat-delivered-through-spoofed-verification-pages-active-iocs

6.           https://thehackernews.com/2025/11/new-evalusion-clickfix-campaign.html

7.         https://corelight.com/blog/detecting-netsupport-manager-abuse

8.         https://thehackernews.com/2025/11/bloody-wolf-expands-java-based.html

9.         https://unit42.paloaltonetworks.com/preventing-clickfix-attack-vector/

10.  https://www.netsupportsoftware.com/education-solutions/

11.  https://www.esentire.com/blog/unpacking-netsupport-rat-loaders-delivered-via-clickfix

  1. https://threatfox.abuse.ch/browse/malware/win.netsupportmanager_rat/
  2. https://www.virustotal.com/gui/url/5fe6936a69c786c9ded9f31ed1242c601cd64e1d90cecd8a7bb03182c47906c2

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About the author
George Kim
Analyst Consulting Lead – AMS

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March 5, 2026

Inside Cloud Compromise: Investigating Attacker Activity with Darktrace / Forensic Acquisition & Investigation

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Investigating Cloud Attacks with Forensic Acquisition & Investigation

Darktrace / Forensic Acquisition & Investigation™ is the industry’s first truly automated forensic solution purpose-built for the cloud. This blog will demonstrate how an investigation can be carried out against a compromised cloud server in minutes, rather than hours or days.

The compromised server investigated in this case originates from Darktrace’s Cloudypots system, a global honeypot network designed to observe adversary activity in real time across a wide range of cloud services. Whenever an attacker successfully compromises one of these honeypots, a forensic copy of the virtual server's disk is preserved for later analysis. Using Forensic Acquisition & Investigation, analysts can then investigate further and obtain detailed insights into the compromise including complete attacker timelines and root cause analysis.

Forensic Acquisition & Investigation supports importing artifacts from a variety of sources, including EC2 instances, ECS, S3 buckets, and more. The Cloudypots system produces a raw disk image whenever an attack is detected and stores it in an S3 bucket. This allows the image to be directly imported into Forensic Acquisition & Investigation using the S3 bucket import option.

As Forensic Acquisition & Investigation runs cloud-natively, no additional configuration is required to add a specific S3 bucket. Analysts can browse and acquire forensic assets from any bucket that the configured IAM role is permitted to access. Operators can also add additional IAM credentials, including those from other cloud providers, to extend access across multiple cloud accounts and environments.

Figure 1: Forensic Acquisition & Investigation import screen.

Forensic Acquisition & Investigation then retrieves a copy of the file and automatically begins running the analysis pipeline on the artifact. This pipeline performs a full forensic analysis of the disk and builds a timeline of the activity that took place on the compromised asset. By leveraging Forensic Acquisition & Investigation’s cloud-native analysis system, this process condenses hour of manual work into just minutes.

Successful import of a forensic artifact and initiation of the analysis pipeline.
Figure 2: Successful import of a forensic artifact and initiation of the analysis pipeline.

Once processing is complete, the preserved artifact is visible in the Evidence tab, along with a summary of key information obtained during analysis, such as the compromised asset’s hostname, operating system, cloud provider, and key event count.

The Evidence overview showing the acquired disk image.
Figure 3: The Evidence overview showing the acquired disk image.

Clicking on the “Key events” field in the listing opens the timeline view, automatically filtered to show system- generated alarms.

The timeline provides a chronological record of every event that occurred on the system, derived from multiple sources, including:

  • Parsed log files such as the systemd journal, audit logs, application specific logs, and others.
  • Parsed history files such as .bash_history, allowing executed commands to be shown on the timeline.
  • File-specific events, such as files being created, accessed, modified, or executables being run, etc.

This approach allows timestamped information and events from multiple sources to be aggregated and parsed into a single, concise view, greatly simplifying the data review process.

Alarms are created for specific timeline events that match either a built-in system rule, curated by Darktrace’s Threat Research team or an operator-defined created at the project level. These alarms help quickly filter out noise and highlight on events of interest, such as the creation of a file containing known malware, access to sensitive files like Amazon Web Service (AWS) credentials, suspicious arguments or commands, and more.

 The timeline view filtered to alarm_severity: “1” OR alarm_severity: “3”, showing only events that matched an alarm rule.
Figure 4: The timeline view filtered to alarm_severity: “1” OR alarm_severity: “3”, showing only events that matched an alarm rule.

In this case, several alarms were generated for suspicious Base64 arguments being passed to Selenium. Examining the event data, it appears the attacker spawned a Selenium Grid session with the following payload:

"request.payload": "[Capabilities {browserName: chrome, goog:chromeOptions: {args: [-cimport base64;exec(base64...], binary: /usr/bin/python3, extensions: []}, pageLoadStrategy: normal}]"

This is a common attack vector for Selenium Grid. The chromeOptions object is intended to specify arguments for how Google Chrome should be launched; however, in this case the attacker has abused the binary field to execute the Python3 binary instead of Chrome. Combined with the option to specify command-line arguments, the attacker can use Python3’s -c option to execute arbitrary Python code, in this instance, decoding and executing a Base64 payload.

Selenium’s logs truncate the Arguments field automatically, so an alternate method is required to retrieve the full payload. To do this, the search bar can be used to find all events that occurred around the same time as this flagged event.

Pivoting off the previous event by filtering the timeline to events within the same window using timestamp: [“2026-02-18T09:09:00Z” TO “2026-02-18T09:12:00Z”].
Figure 5: Pivoting off the previous event by filtering the timeline to events within the same window using timestamp: [“2026-02-18T09:09:00Z” TO “2026-02-18T09:12:00Z”].

Scrolling through the search results, an entry from Java’s systemd journal can be identified. This log contains the full, unaltered payload. GCHQ’s CyberChef can then be used to decode the Base64 data into the attacker’s script, which will ultimately be executed.[NJ9]

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About the author
Nathaniel Bill
Malware Research Engineer
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