INSPECTING ARCHIVED INTELLIGENCE (OUTDATED VERSION).
Medusa Ransomware Exploits Vulnerabilities
| 2026-02-24 21:18 CRITICAL LOWExecutive Summary AI-generated
The Lazarus Group, a notorious North Korean threat actor, has been linked to multiple high-profile cyberattacks targeting healthcare organizations. These attacks have demonstrated the group's penchant for critical infrastructure hits, most notably in the sector of healthcare entities. Unlike nation-state advanced persistent threat groups, which often employ financially motivated attacks on various sectors, including energy and cryptocurrency exchanges, Lazarus Group has historically engaged in conventional cybercrime with motivation from financial gain. The recent Medusa ransomware attack on an organization in the Middle East is a prime example of this trend, as it highlights the group's ability to adapt its tactics while maintaining operational flexibility.
Technical Mitigations AI-generated
* Implement EDR (Endpoint Detection and Response) blockers: To prevent vulnerable drivers from being used by ransomware gangs, organizations should block endpoint detection and response (EDR) killers that rely on these drivers.
* Monitor for privilege escalation attempts: Regularly monitor systems for signs of privilege escalation attempts, which attackers may use to introduce malware into targeted systems. This can be done using tools like privilege monitoring software or by implementing a least-privilege access model.
* Use BYOVD (Bring-your-own-vulnerable-driver) defenses: Implementing BYOVD techniques can help prevent ransomware gangs from exploiting vulnerable drivers used in their attacks. Organizations should monitor for signs of this tactic and take steps to block it if necessary.
* Regularly update and patch operating systems and software: Keeping operating systems, applications, and firmware up-to-date with the latest security patches is crucial in preventing exploitation by ransomware gangs.
* Implement a robust incident response plan: Having an incident response plan in place can help organizations respond quickly to ransomware attacks. This should include procedures for containing and eradicating malware, as well as communication protocols with affected parties.
Technical Observables
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Intelligence Metadata
Actors / Malware / CVEs / Campaigns
Lazarus GroupLazarus GroupAndarielAndariel
CarbonCarbonMedusa RansomwareMedusa Ransomware
Target & Sectors
DPRK
DPRK
MIDDLE_EAST
MIDDLE_EAST
NORTH_AMERICA
NORTH_AMERICA
healthcarehealthcare
defensedefense
governmentgovernment
healthhealth
energyenergy
technologytechnology
Incident Timeline
October 2024
Threat actors used Medusa ransomware against three US organizations in October 2024.
Click on any entity below to view its context and source!
tactic
Ransomware
Yet subsequent investigations found continued intrusion attempts against three US organizations in October 2024, even though ransomware was not deployed.
target_region
United States
Yet subsequent investigations found continued intrusion attempts against three US organizations in October 2024, even though ransomware was not deployed.
July 2025
Stonefly began targeting financial institutions with Medusa ransomware in July 2025.
Click on any entity below to view its context and source!
tactic
Espionage
Once considered focused solely on espionage, Stonefly's involvement in financially motivated attacks became public in July 2025.
early November 2025
Threat actors used Medusa ransomware to target four US healthcare and non-profit organizations.
Click on any entity below to view its context and source!
source_region
United States
Analysis of Medusa's leak site indicated that four US healthcare and non-profit organizations have been listed as victims since early November 2025.
industry
Healthcare
Analysis of Medusa's leak site indicated that four US healthcare and non-profit organizations have been listed as victims since early November 2025.
2026-02-24
The Lazarus Group, a North Korean state-sponsored hacking group, has adopted the Medusa ransomware-as-a-service (RaaS) platform.
Click on any entity below to view its context and source!
threat_actor
Lazarus Group
Lazarus Group
actors also attempted an unsuccessful attack on a US healthcare organization.
Lazarus Group Picks a New Poison: Medusa Ransomware.
Partnering with Medusa, therefore, makes sense for Lazarus Group, given its history of ransomware and extortion attacks.
Lazarus Group's embrace of Medusa shows the Democratic People's Republic of Korea's (DPRK)
Which Lazarus Group Unit Was Behind the Attacks?
In addition to the Comebacker malware, the Carbon Black's threat hunter team found evidence of other malware and hacking tools frequented by the Lazarus Group in the two attacks.
North Korean Lazarus Group Expands Ransomware Activity With Medusa.
organisation
the US Justice Department
At that time, the US Justice Department indicted Rim Jong Hyok, an alleged Stonefly member, for his role in ransomware campaigns targeting US hospitals and healthcare providers.
organisation
Lazaurs
"While some cybercrime outfits claim to steer clear of targeting healthcare organizations due to the reputational damage it may attract, Lazaurs doesn't seem to be in any way constrained."
organisation
DPRK
Lazarus Group's embrace of Medusa shows the Democratic People's Republic of Korea's (DPRK)
organisation
the Democratic People's Republic of Korea's
Lazarus Group's embrace of Medusa shows the Democratic People's Republic of Korea's (DPRK)
organisation
North Korean
North Korean Lazarus Group Expands Ransomware Activity With Medusa.
organisation
Singapore &
Related:
Singapore & Its 4 Major Telcos Fend Off Chinese Hackers
The threat hunter team's report included indicators of compromise from the two attacks, such as malicious file indicators, IP addresses, and URLs.
organisation
IP
Related:
Singapore & Its 4 Major Telcos Fend Off Chinese Hackers
The threat hunter team's report included indicators of compromise from the two attacks, such as malicious file indicators, IP addresses, and URLs.
organisation
APT
Unlike most nation-state advanced persistent threat (APT) groups, Lazarus has long been involved in conventional cybercrime with financially motivated attacks on everything from energy sector organizations to
cryptocurrency exchanges
.
organisation
Ransomware
Related:
Malicious Next.js Repos Target Developers Via Fake Job Interviews
Just the Ransomware, Please
organisation
EDR
The ransomware gang has embraced the
bring-your-own-vulnerable-driver
(BYOVD) technique,
deploying endpoint detection and response (EDR) killers
to disable enterprise security defenses.
organisation
BYOVD
Still, BYOVD has become an increasingly popular tactic
among ransomware gangs
, and security teams should prepare for such threats.
organisation
Spearwing
Use of Medusa Ransomware Grows
Medusa, operated by the Spearwing cybercrime group, emerged in 2023 as a ransomware-as-a-service (RaaS) platform.
threat_actor
Andariel
The Stonefly sub-group
, also known as Andariel, has played a central role in ransomware operations over the past five years.
organisation
Reconnaissance General Bureau
He is said to be affiliated with North Korea's Reconnaissance General Bureau (RGB).
organisation
RGB
He is said to be affiliated with North Korea's Reconnaissance General Bureau (RGB).
organisation
The Larazus Group
The Larazus Group has a new partner in crime.
organisation
Comebacker
The researchers noted that while the Medusa attacks featured tactics, techniques, and procedures (TTPs) associated with a Lazarus sub-group known as a
Stonefly
, the additional malware used by the threat actors, including a backdoor known as Comebacker, were previously tied to a different group tracked as
Diamond Sleet
.
organisation
Infohook
This includes Blindingcan, a remote access Trojan (RAT) tied to Lazarus, and an infostealer known as Infohook.
organisation
Affiliates
Affiliates deploy the malware in exchange for a share of ransom payments.
organisation
Tools Used In
Tools Used In Recent Campaigns
In the new advisory, researchers identified a range of malware and utilities linked to the attacks:
While the tactics resemble previous Stonefly operations, the analysts cautioned that the tools are not exclusive to one sub-group.
financial
$10 $ reward
Authorities also announced a $10m reward for information related to him.
Tactical Metrics
Metrics
financial
10,000,000
$ Reward
Click for context!
Authorities also announced a $10m reward for information related to him.
Intelligence Sources
Dark Reading
2026-02-24
Lazarus Group Picks a New Poison: Medusa Ransomware
Dark Reading
Infosecurity-Magazine
2026-02-24
North Korean Lazarus Group Expands Ransomware Activity With Medusa
Infosecurity-Magazine
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Incident Version History
CURRENT VERSION
Last Updated: 2026-04-27T07:16
Comprehensive Tactical Telemetry
Highly Correlated Entities
19x
organisation
Identified Entity
Singapore &
entity
6x
industry
Targeted Sector
Healthcare
sector
6x
target region
Target Country
Japan
country
5x
tactic
Cyber Operation Type
Ransomware
tactic
5x
timeline
Temporal Reference
2024
date
2x
source region
Origin Country
United States
country
2x
threat actor
APT Group
Lazarus Group
actor
2x
malware
Malware Payload
Medusa Ransomware
tool
2x
target region
Target Region
MIDDLE_EAST
region
2x
source region
Origin Region
DPRK
region
Contextual Telemetry
Context Block
4 METRICS
attribution
Attributing Entity
Smear Japan PM
authority
general metric
Telcos Fend
4
telcos fend
general metric
Incidents
366
incidents
financial
$ Reward
10,000,000
$ reward
Click on any entity below to view its context in the main text!
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