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Ransomware group

Medusa ransomware

372 victims listed on the Medusa leak site across 34 countries. Most recent disclosure .

Victims
372
1.6% of all tracked
Countries
34
Most: United States
Sectors
14
Most: Business Services
First seen
Jan 2024
In this database

ThreatAI analysis

Compiled from the ransomware.live profile for Medusa and from this database. Figures and technique mappings are quoted from the source data, not inferred.

Medusa is a ransomware-as-a-service operation targeting over 300 victims across 34 countries, including key sectors like healthcare and manufacturing.

Who Medusa is

Medusa is a ransomware-as-a-service operation active since June 2021 that has targeted over 300 victims across critical infrastructure sectors including healthcare, education, legal, and manufacturing using double-extortion, with attacks surging 42% between 2023 and 2024 and a formal CISA advisory issued in early 2025.

Recorded activity

Disclosures attributed to Medusa in this database run from January 2024 to February 2026, totalling 372 victims — 1.6% of everything tracked here. Medusa has listed victims in 34 countries in this database, most often United States, followed by United Kingdom and Canada. The sectors appearing most in its listings are Business Services, Healthcare, Manufacturing.

How Medusa is documented to operate

Valid Accounts T1078 Stealth Persistence

Adversaries may obtain and abuse credentials of existing accounts as a means of gaining Initial Access, Persistence, Privilege Escalation, or Defense Evasion. Compromised credentials may be used to bypass access controls placed on various resources on systems within the network and may even be used for persistent access to remote systems and externally available services, such as VPNs, Outlook Web Access, network devices, and remote desktop. Compromised credentials may also grant an adversary increased privilege to specific systems or access to restricted areas of the network.

Mitigations: Application Developer Guidance, User Training, Password Policies, User Account Management, Privileged Account Management, Multi-factor Authentication

MITRE ATT&CK reference
External Remote Services T1133 Persistence Initial Access

Adversaries may leverage external-facing remote services to initially access and/or persist within a network. Remote services such as VPNs, Citrix, and other access mechanisms allow users to connect to internal enterprise network resources from external locations. There are often remote service gateways that manage connections and credential authentication for these services. Services such as Windows Remote Management and VNC can also be used externally. Access to Valid Accounts to use the service is often a requirement, which could be obtained through credential pharming or by obtaining the credentials from users after compromising the enterprise network.

Mitigations: Limit Access to Resource Over Network, Restrict Web-Based Content, Network Segmentation, Multi-factor Authentication, Disable or Remove Feature or Program

MITRE ATT&CK reference
Exploit Public-Facing Application T1190 Initial Access

Adversaries may attempt to exploit a weakness in an Internet-facing host or system to initially access a network. The weakness in the system can be a software bug, a temporary glitch, or a misconfiguration. Exploited applications are often websites/web servers, but can also include databases (like SQL), standard services (like SMB or SSH), network device administration and management protocols (like SNMP and Smart Install), and any other system with Internet-accessible open sockets. On ESXi infrastructure, adversaries may exploit exposed OpenSLP services; they may alternatively exploit exposed VMware vCenter servers.

Mitigations: Vulnerability Scanning, Limit Access to Resource Over Network, Filter Network Traffic, Network Segmentation, Privileged Account Management, Application Isolation and Sandboxing

MITRE ATT&CK reference
Phishing T1566 Initial Access

Adversaries may send phishing messages to gain access to victim systems. All forms of phishing are electronically delivered social engineering. Phishing can be targeted, known as spearphishing. In spearphishing, a specific individual, company, or industry will be targeted by the adversary. More generally, adversaries can conduct non-targeted phishing, such as in mass malware spam campaigns. Adversaries may send victims emails containing malicious attachments or links, typically to execute malicious code on victim systems. Phishing may also be conducted via third-party services, like social media platforms.

Mitigations: Network Intrusion Prevention, Restrict Web-Based Content, User Training, Antivirus/Antimalware, Software Configuration, Audit

MITRE ATT&CK reference
Windows Management Instrumentation T1047 Execution

Adversaries may abuse Windows Management Instrumentation (WMI) to execute malicious commands and payloads. WMI is designed for programmers and is the infrastructure for management data and operations on Windows systems. WMI is an administration feature that provides a uniform environment to access Windows system components. The WMI service enables both local and remote access, though the latter is facilitated by Remote Services such as Distributed Component Object Model and Windows Remote Management. Remote WMI over DCOM operates using port 135, whereas WMI over WinRM operates over port 5985 when using HTTP and 5986 for HTTPS.

Mitigations: Execution Prevention, Behavior Prevention on Endpoint, User Account Management, Privileged Account Management

MITRE ATT&CK reference
Command and Scripting Interpreter T1059 Execution

Adversaries may abuse command and script interpreters to execute commands, scripts, or binaries. These interfaces and languages provide ways of interacting with computer systems and are a common feature across many different platforms. Most systems come with some built-in command-line interface and scripting capabilities, for example, macOS and Linux distributions include some flavor of Unix Shell while Windows installations include the Windows Command Shell and PowerShell. There are also cross-platform interpreters such as Python, as well as those commonly associated with client applications such as JavaScript and Visual Basic.

Mitigations: Restrict Web-Based Content, Limit Software Installation, Execution Prevention, Code Signing, Behavior Prevention on Endpoint, Privileged Account Management

MITRE ATT&CK reference
Software Deployment Tools T1072 Execution Lateral Movement

Adversaries may gain access to and use centralized software suites installed within an enterprise to execute commands and move laterally through the network. Configuration management and software deployment applications may be used in an enterprise network or cloud environment for routine administration purposes. These systems may also be integrated into CI/CD pipelines. Examples of such solutions include: SCCM, HBSS, Altiris, AWS Systems Manager, Microsoft Intune, Azure Arc, and GCP Deployment Manager. Access to network-wide or enterprise-wide endpoint management software may enable an adversary to achieve remote code execution on all connected systems.

Mitigations: Remote Data Storage, Limit Software Installation, User Training, Network Segmentation, Password Policies, User Account Management

MITRE ATT&CK reference
Native API T1106 Execution

Adversaries may interact with the native OS application programming interface (API) to execute behaviors. Native APIs provide a controlled means of calling low-level OS services within the kernel, such as those involving hardware/devices, memory, and processes. These native APIs are leveraged by the OS during system boot (when other system components are not yet initialized) as well as carrying out tasks and requests during routine operations. Adversaries may abuse these OS API functions as a means of executing behaviors.

Mitigations: Execution Prevention, Behavior Prevention on Endpoint

MITRE ATT&CK reference

MITRE ATT&CK techniques attributed to Medusa across its recorded activity. They describe the group overall, not any single incident.

Vulnerabilities Medusa is recorded exploiting

2 of these 2 are in the CISA Known Exploited Vulnerabilities catalog, 2 of them recorded by CISA as used in ransomware campaigns. CVEs attributed to Medusa in threat intelligence reporting. Patching these does not by itself rule the group out, and their presence here is not evidence of how any single organisation was reached.

Tooling observed in Medusa operations

  • Mimikatz
  • EDRSandBlast
  • KillAV
  • ThrottleStop driver
  • Advanced IP Scanner
  • Navicat
  • PDQ Inventory
  • RoboCopy
  • SoftPerfect NetScan
  • RClone
  • BITSAdmin
  • Process Explorer

Software reported in use by Medusa. Most are legitimate administration or transfer utilities; their presence in an environment is a signal to investigate, not proof of compromise.

Indicators of compromise

Showing a sample of 18 MD5, 3 EMAIL on file. Hashes and network indicators published for Medusa. Leak-site addresses are deliberately excluded. Indicators age quickly — treat a match as a starting point for investigation, and an absence of matches as no assurance.

Threat actor analysis

Medusa has disclosed 372 victims on its leak site, 1.6% of all ransomware listings tracked in this database. Its earliest disclosure here dates to January 2024.

The group has listed organisations in 34 countries, most often in United States (229 victims), followed by United Kingdom, Canada, Australia.

By industry, its listings concentrate in Business Services, Healthcare, Manufacturing — sectors that hold sensitive data or cannot tolerate long outages, both of which raise the pressure to pay.

Like most current ransomware operations, Medusa is likely to use double extortion: data is stolen before files are encrypted, and organisations that refuse to pay are named on the leak site with the stolen data as leverage.

Medusa victims 372

Page 1 of 4
Organization Disclosed
Balloons Everywhere
USUnited States
Comune di Battipaglia
ITItaly
Grandview Family Medicine
USUnited States
MESA Products
USUnited States
South Hays Fire Department
USUnited States
Resource Corporation of America
USUnited States
JBS
USUnited States
Callipo Group
ITItaly
Sampoerna Agro
IDIndonesia
Shamrock Technologies
USUnited States
Thunder Bay Counselling
CACanada
Concord Academy
USUnited States
Universidade Municipal de São Caetano
BRBrazil
WR Comercial
BRBrazil
FDC Interiors
AEUAE
General Distributing
USUnited States
MFE Formwork Technology
SGSingapore
Nationwide Legal LLC
USUnited States
Atrium Living Centers
USUnited States
Clackamas Community College
USUnited States
LaRosa’s Pizzeria
USUnited States
Oscars Group
AUAustralia
PT Kalimantan Prima Persada
IDIndonesia
Simon Property Group
USUnited States
Adore Children and Family Services
USUnited States
Alissa Group
SASaudi Arabia
ATIRG
FRFrance
Cooperativa Esercenti Farmacia Scrl
ITItaly
DALCANS
FRFrance
Imagicle
ITItaly
Linxx Global Solutions
USUnited States
Cemtrex
USUnited States
Design To Print
USUnited States
EcoPetróleo
DODominican Republic
LA VOIE EXPRESS
MAMorocco
Leprohon (Image !)
Lux Actuaries & Consultants
AEUAE
CCMC
USUnited States
Comcast
USUnited States
Future Generali
INIndia
Insightin Health
USUnited States
Leprohon
CACanada
LGB
GBUnited Kingdom
Organon
USUnited States
Cariri
TTTrinidad and Tobago
Rad-Solutions, LLC
USUnited States
Level
USUnited States
TEAM GROUP
THThailand
Aldagi
GEGeorgia
Expert E-commerce GmbH
DEGermany
Florarte
BRBrazil
PANSARD & ASSOCIES
FRFrance
Franklin Pierce Schools
USUnited States
White Coffee Corporation
USUnited States
Prosecuting Attorneys' Council of Georgia
USUnited States
R&W Engineering
USUnited States
Sermo
USUnited States
Southwest CARE Center
USUnited States
Sun Direct
INIndia
Bumfords
GBUnited Kingdom
Hartwig Mechanical Inc
USUnited States
San Jose Country Club
USUnited States
Bailey's
USUnited States
Presort First Class
USUnited States
RE/MAX
USUnited States
Town of North Providence Rhode Island corporate office
USUnited States
DSI Tech
USUnited States
DeVita & Associates, Inc.
USUnited States
Nottingham Construction
GBUnited Kingdom
Trindel Insurance Fund
USUnited States
Lake Shore Paving
USUnited States
Russell Child Development Center
USUnited States
Weil Construction, Inc
USUnited States
Appalachian Regional Commission
USUnited States
Conditioned Air Corporation
USUnited States
Matthews Law
USUnited States
Phelps United
USUnited States
Lithium Americas Nevada
USUnited States
MRC de Maskinongé - district
CACanada
Pawnee Heights Unified School District
USUnited States
Bridgebank Limited
GBUnited Kingdom
Fall River Public Schools
USUnited States
McFarland Commercial Insurance Services
USUnited States
National Association for Stock Car Auto Racing
USUnited States
Pulse Urgent Care
USUnited States
FS Tool Corporation
CACanada
Krypton Solutions
USUnited States
Business Software Solutions
USUnited States
Family Health Services, Inc
USUnited States
O'Shea Builders
USUnited States
AutoCanada
CACanada
Advance Tapes International
GBUnited Kingdom
Augusta Industrial Services, Inc.
USUnited States
Big Horn County School District #4
USUnited States
Champions Group
INIndia
J McCann & Co Ltd
GBUnited Kingdom
National Safety Council
USUnited States
Coldwell Banker D’Ann Harper, REALTORS
USUnited States
SRP Companies (Second lock! + Company scam!)
USUnited States
Karen S Pouliot

Frequently asked questions

What is Medusa ransomware?

Medusa is a ransomware threat group that has claimed 372 victims since its first known activity in January 2024. The group operates by infiltrating target networks, exfiltrating data, encrypting files, and threatening to publish stolen data on a dark web leak site if the ransom is not paid.

How many victims has Medusa attacked?

Medusa has claimed 372 victims in our database, representing 1.6% of all tracked ransomware attacks. The most targeted countries are United States, United Kingdom, Canada, Australia.

Which countries does Medusa target?

Medusa has attacked organizations in 34 countries. The top targeted countries are: United States, United Kingdom, Canada, Australia.

Which industries does Medusa target?

Medusa most frequently targets the Business Services, Healthcare, Manufacturing sectors based on victim disclosures in our database.

Is Medusa still active?

Medusa's most recent victim disclosure in our database was on February 14, 2026. Ransomware groups frequently rebrand or go dormant; monitor this page and our ransomware map for the latest activity.