Overview
Medusa is a ransomware-as-a-service operation first observed in June 2021. It operates a double-extortion model: affiliates encrypt victim systems while the core group simultaneously exfiltrates sensitive data. Victims who refuse to pay face publication of their data on the Medusa Blog, a Tor-hosted leak site with a countdown timer visible to anyone. Ransoms have ranged from $100,000 to $15 million depending on victim size, per CISA AA25-071A.
The group is not to be confused with the MedusaLocker ransomware family (a separate, older variant) or the Medusa Android banking trojan. The Windows-targeting RaaS addressed here gained significant attention following a joint CISA/FBI/MS-ISAC advisory (AA25-071A) published March 12, 2025, documenting over 300 victims across healthcare, education, legal, insurance, technology, and manufacturing sectors.
Microsoft Threat Intelligence reported in April 2026 that Storm-1175 has deployed Medusa ransomware in high-tempo operations targeting vulnerable web-facing systems. In some cases, the activity moved from successful exploitation to data exfiltration and ransomware deployment within 24 hours.
Medusa affiliates gain initial access primarily through phishing campaigns and exploitation of unpatched internet-facing services. CISA documents the group exploiting ConnectWise ScreenConnect CVE-2024-1709 (authentication bypass) and the Fortinet EMS SQL injection CVE-2023-48788 - both common in observed intrusions. A significant share of access is purchased from Initial Access Brokers (IABs), whom Medusa developers actively recruit on cybercriminal forums with offers of $100 to $1 million per access. After establishing a foothold, affiliates spend time conducting internal reconnaissance and lateral movement before deploying the ransomware payload. Defense evasion centers on a Bring Your Own Vulnerable Driver (BYOVD) attack using a custom signed driver (ABYSSWORKER) to disable endpoint detection, along with PowerShell command history removal.
The payload - a binary named gaze.exe per CISA's investigation - uses AES-256 for file encryption. Before encrypting, gaze.exe terminates services related to backups, security, databases, communication, file sharing, and websites, then deletes Volume Shadow Copies. Every encrypted file receives a .medusa extension and a ransom note (!!!READ_ME_MEDUSA!!!.txt) is dropped in each affected directory. Victims are given 48 hours to make contact through a Tor-based live chat or the Tox end-to-end encrypted messenger; non-responding victims are pursued directly by phone or email. The Medusa .onion leak site displays a countdown timer, and victims can pay $10,000 in cryptocurrency to add a day to it.