The financially motivated cybercriminal actor tracked by Microsoft Threat Intelligence as Storm-1175 operates high-velocity ransomware campaigns that weaponize N-days, targeting vulnerable, web-facing systems during the window between vulnerability disclosure and widespread patch adoption. Following successful exploitation, Storm-1175 rapidly moves from initial access to data exfiltration and deployment of Medusa ransomware, often within a few days and, in some cases, within 24 hours. The threat actor’s high operational tempo and proficiency in identifying exposed perimeter assets have proven successful, with recent intrusions heavily impacting healthcare organizations, as well as those in the education, professional services, and finance sectors in Australia, United Kingdom, and United States. The pace of Storm-1175’s campaigns is enabled by the threat actor’s consistent use of recently disclosed vulnerabilities to obtain initial access. While the threat actor typically uses N-day vulnerabilities, we have also observed Storm-1175 leveraging zero-day exploits, in some cases a full week before public vulnerability disclosure. The threat actor has also been observed chaining together multiple exploits to enable post-compromise activity. After initial access, Storm-1175 establishes persistence by creating new user accounts, deploys various tools including remote monitoring and management software for lateral movement, conducts credential theft, and tampers with security solutions before deploying ransomware throughout the compromised environment.