On March 12, 2025, a joint cybersecurity advisory was issued by the Cybersecurity and Infrastructure Security Agency, the Federal Bureau of Investigation, and the Multi-State Information Sharing and Analysis Center to advise companies about the tactics, techniques and procedures (TTPs), and indicators of compromise (IOCs) to protect themselves against Medusa ransomware.

According to the advisory:

Medusa is a ransomware-as-a-service (RaaS) variant first identified in June 2021. As of February 2025, Medusa developers and affiliates have impacted over 300 victims from a variety of critical infrastructure sectors with affected industries including medical, education, legal, insurance, technology, and manufacturing. The Medusa ransomware variant is unrelated to the MedusaLocker variant and the Medusa mobile malware variant per the FBI’s investigation.

The advisory provides technical details on how Medusa gains access to systems, including phishing campaigns as the primary method for stealing credentials. The group also exploits unpatched software vulnerabilities, which reinforces the importance of timely patching.

The threat actors exfiltrate the victim’s data and then deploy the encryptor, gaze.exe, on files while disabling Windows Defender and other antivirus tools. The encrypted files use the .medusa file extension. They then contact the victim within 48-hours and use the .onion data leak site for communication.

The advisory lists the IOCs and TTPs used in the attacks. IT professionals may wish to review them and apply mitigation tactics. The mitigations listed in the advisory are lengthy and worth consulting.