Key Insights
When Change Healthcare was crippled by a ransomware attack in early 2024, the incident disrupted prescription processing for pharmacies nationwide, delayed billions in provider payments, and exposed the data of an estimated 190 million people.
The intrusion reportedly began with a single stolen set of credentials on a remote access portal that lacked multi-factor authentication, illustrating how a single gap in the attack chain can cascade into a national crisis. Ransomware was present in 44% of all confirmed breaches, according to the 2025 Verizon DBIR, and incidents like Change Healthcare show why ransomware protection now depends on controlling the full attack chain, from initial access to recovery.
This article walks through five proven, layered strategies, spanning email hardening, vulnerability management, phishing-resistant MFA, recovery-resistant backups with network segmentation, and rapid-response incident planning, that security leaders can use to close the gaps attackers exploit at each stage.
Key Takeaways
- Email remains a primary entry point for cyberattacks that can enable ransomware deployment. Hardening authentication, content controls, and post-delivery scanning helps shut down the credential theft and social engineering that fuel access broker markets.
- Backup systems are direct attack targets. Immutable, offline, and regularly tested backups are a baseline requirement, since modern operators enumerate backup infrastructure during reconnaissance to delete snapshots and disable replication before encryption begins.
- Network segmentation can help limit damage when endpoint controls are weakened. Applying isolation at the IT/OT boundary, internet-facing perimeter, and workload layer blocks the lateral movement ransomware operators rely on to reach high-value targets.
- Incident response plans need to support rapid attack execution rather than assuming multi-day dwell times. Pre-staged tooling, contact lists, and rehearsed containment actions are essential as access brokers hand off validated footholds to affiliates ready to deploy payloads on the same day.
1. Harden Email Security Beyond Basic Filtering
Email security can help reduce one of the most common paths to a ransomware incident, since email remains the dominant delivery vehicle for credential theft, malware droppers, and the social engineering that fuels access-broker markets. A defensible email security posture requires authentication, content controls, and post-delivery analysis working in concert.
Start with sender authentication. Industry guidance, including CISA CPG 2.M, points to SPF, DKIM, and DMARC at p=reject as the baseline for corporate email infrastructure. Enforcement at p=reject is essential, since monitor-only modes allow spoofed messages to reach inboxes while generating reports no one acts on.
Layer on content and execution controls:
- Disable Macros by Default: Macro-enabled attachments remain a well-documented delivery mechanism for ransomware droppers. Enforce macro blocking through Group Policy for files originating from the Internet zone.
- Enable Post-Delivery Scanning: Modern email programs should scan messages after delivery, not just at the gateway. Attackers deliver emails containing URLs that resolve to benign content at scan time, then update destinations to malicious content hours later. Post-delivery scanning re-evaluates messages already in the user inboxes and retracts those that turn malicious.
- Apply External Email Banners: Mark inbound messages from external senders so users can spot impersonation attempts that bypass technical filters.
Modern ransomware precursor campaigns increasingly arrive without obvious technical indicators. Business email compromise, vendor account takeover, and AI-generated polymorphic phishing produce messages with no malicious payload, valid authentication alignment, and unique content per recipient. Behavioral analysis that profiles normal sender, recipient, and tenant activity is required to surface these threats alongside rule-based filtering.
2. Patch and Manage Vulnerabilities Aggressively
Fast vulnerability management can help close one of the most common direct entry points for ransomware. Vulnerability exploitation has overtaken credential abuse as the most common direct initial access vector within ransomware incidents per the Verizon 2025 DBIR. Attackers monitor public disclosures and proof-of-concept code, often weaponizing critical CVEs within days of release, well before many organizations complete change-management cycles.
Prioritize internet-facing systems first: VPN concentrators, firewalls, edge routers, web application servers, email gateways, and remote access appliances. These devices sit outside perimeter controls and offer attackers a direct path into the network with no phishing required.
Use exploit intelligence to drive prioritization, not CVSS scores alone. The CISA KEV catalog identifies confirmed in-the-wild exploits, with entries marked "Known To Be Used in Ransomware Campaigns" representing the highest-urgency remediation category. Treat KEV ransomware entries as emergency change requests rather than routine patch cycles.
Establish concrete service level objectives: 72 hours for KEV ransomware-tagged vulnerabilities on internet-facing assets, 14 days for other KEV entries, and 30 days for critical CVEs on internal systems. Track patch coverage as a board-reported metric, and pair patching with compensating controls (virtual patching, WAF rules, network isolation) when a fix cannot be deployed immediately.
3. Enforce Phishing-Resistant Multi-Factor Authentication and Privileged Access Controls
Identity is the connective tissue between initial access and ransomware deployment. Strong identity controls narrow the window during which a stolen credential can be used to move laterally, escalate privileges, and stage an encryption.
MFA provides more value when ransomware defenses rely on phishing-resistant implementations. Federal cyber hygiene guidance now calls for phishing-resistant MFA across all administrative access paths, including local admin, domain admin, RDP, and VPN. Adversary-in-the-middle phishing kits capture session tokens and MFA codes in real time, and the Verizon 2025 DBIR, mentioned earlier, states that MFA is "no longer the reliable countermeasure it once was" against evolved credential abuse. FIDO2 security keys and certificate-based authentication resist these kits because the cryptographic challenge is bound to the legitimate domain.
Extend phishing-resistant MFA across all remote access paths. Exposed RDP and unpatched VPN appliances are consistently flagged as ransomware entry points in federal advisories. Disable RDP where not operationally required, restrict VPN access to approved devices only, and place legacy protocols behind a reverse proxy that enforces modern authentication.
Layer privileged access management on top of MFA:
- Privileged Access Workstations (PAWs): Dedicated hardware isolated from the internet, hardened per CIS Benchmarks, used only for administrative tasks.
- Just-in-Time (JIT) Access: Auto-disable admin accounts at the Active Directory level when not in direct need, with time-limited access grants approved per session.
- Monitor for New Privileged Accounts: Threat reporting on Akira and similar groups indicates that attackers are creating new accounts and adding them to the administrator group (T1136.001). Alert on any addition to Domain Admins, Enterprise Admins, or local administrator groups.
- Credential Exposure Monitoring: Automated alerts for appearances in access broker markets and credential dumps should trigger immediate, forced password resets paired with MFA enforcement.
The controls above reduce the standing privilege available to an attacker who obtains a valid credential, ensuring that even a successful phish does not result in immediate domain-wide compromise.
4. Build Recovery-Resistant Backups and Segment the Network to Contain Spread
Backup architecture and network segmentation are the two controls that determine whether a successful intrusion becomes a contained incident or an enterprise-wide outage. Both assume that prevention will eventually fail.
Backup architecture should assume attackers will try to disrupt recovery before encryption begins. Recent advisories on the Akira ransomware group detail attackers exploiting vulnerabilities in backup software directly, and modern ransomware operators routinely enumerate backup infrastructure during reconnaissance to delete snapshots, corrupt repositories, and disable replication jobs.
There are three backup properties that can help strengthen recovery readiness:
- Encrypted: Protects backup data from exfiltration-based extortion.
- Immutable: Cannot be altered or deleted once written, even by privileged accounts. Object-lock storage and write-once media enforce this property at the infrastructure layer.
- Offline: Physically or logically isolated from production networks with separate credentials. The isolated copy should be unreachable from compromised domain accounts.
Test restoration on a defined schedule. An untested backup is an assumption, not a recovery capability. Document restoration time objectives for tier-one systems and validate them against actual recovery drills.
Network segmentation can help contain ransomware when prevention controls fail, and it is widely regarded as a high-impact performance goal across major security frameworks. LockBit advisories, for example, specifically call for isolating web-facing applications to minimize ransomware spread across the network.
Apply segmentation at three layers:
- IT/OT Boundary: Physical and logical separation prevents ransomware from crossing into operational technology.
- Internet-Facing/Internal: DMZ or VPC isolation protects internal systems from direct exposure.
- Application/Workload: Micro-segmentation restricts east-west traffic between workloads within the same network zone, blocking the lateral movement that ransomware operators rely on to reach high-value targets.
Apply dedicated segmentation around virtualization infrastructure as well. The Scattered Spider group has been observed deploying DragonForce ransomware to encrypt VMware ESXi servers, and restricting management plane access prevents a single hypervisor compromise from cascading into a data center outage.
5. Prepare Incident Response Plans for Rapid Attack Timelines
Incident response plans should assume ransomware operators can move from access to impact in hours rather than days. The multi-week dwell times of earlier eras have collapsed as access brokers hand off validated footholds to affiliates ready to deploy payloads on the same day.
A defensible response playbook follows a consistent sequence: determine impacted systems, isolate them, triage for restoration priority, and capture system images and memory samples for forensic analysis. Pre-stage the tooling, contact lists, and decision authority required to execute this sequence within minutes, not hours.
Modern IR plans should account for:
- Cloud Environment Isolation: IR playbooks should include rogue cloud account detection as an explicit step, since attackers increasingly pivot into SaaS and IaaS tenants where on-premises containment actions have no effect.
- Credential Reset Paired with MFA Enforcement: Password resets without simultaneous MFA enforcement leave re-compromise vectors open. Reset cycles must include revocation of session tokens across federated identity providers.
- Multi-Extortion Response: Pre-defined plans for handling public disclosure and regulatory obligations, since ransomware groups increasingly exfiltrate data for separate extortion independent of encryption. Groups increasingly exfiltrate data with no encryption component, relying on stolen PII for extortion.
- Regular Testing: NIST IR 8374 Rev. 1 classifies response and recovery plan testing as Priority 1. Tabletop exercises should cover both technical containment and executive decision-making under extortion pressure.
Tested plans, pre-approved containment actions, and rehearsed communications convert chaotic incidents into managed events.
Where Rule-Based Email Defenses Often Struggle
Rule-based email defenses often struggle when ransomware precursor activity arrives without obvious technical indicators. Modern ransomware precursor campaigns present no known-bad indicators at the moment of email delivery:
- Business Email Compromise (BEC) and Executive Impersonation: No malicious payload or recognizable signature exists for content-scanning to act on.
- Vendor Account Compromise: When attackers compromise a legitimate vendor email account, they inherit valid SPF/DKIM/DMARC alignment and established communication history.
- Post-Delivery URL Weaponization: URLs resolve to benign content during pre-delivery scanning, then redirect to malicious destinations after delivery, evading traditional gateway inspection.
- AI-Generated Polymorphic Phishing: Each message variant is unique. No two messages match an existing signature.
How Abnormal Helps Disrupt Ransomware at the Inbox
Abnormal helps address the email and account takeover activity that often precedes ransomware deployment. Traditional email security tools often struggle to detect socially engineered, payload-free attacks that fuel credential theft and ultimately enable ransomware deployment.
Abnormal approaches this differently. Through API integrations with Microsoft 365 and Google Workspace, Abnormal's behavioral AI analyzes email- and account-based behavioral signals, identity signals, and session and device signals. This includes patterns such as vendor interaction patterns, recipient behavior, timing, and engagement flows. When those patterns shift in suspicious ways, Abnormal can help surface the email and account-compromise activity that often precedes ransomware, while complementary controls are still needed for non-email channels.
This approach is designed to detect ransomware precursor activity that passes technical authentication checks, including credential phishing, BEC, vendor email compromise, and account takeover. Abnormal integrates with existing security infrastructure, including SIEM and SOAR platforms and native Microsoft 365 defenses, complementing those tools rather than replacing them.
Ransomware Protection Demands Layered, Adaptive Defense
Ransomware protection is strongest when access controls, containment measures, and recovery readiness reinforce one another. These five strategies work together as compensating controls. When one layer is bypassed, the next contains the damage. For security leaders ready to address the email-based component of ransomware risk with behavioral AI, schedule a demo with Abnormal.
