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CVE-2023-43208 CISA KEV — actively exploited Ransomware-linked

NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability

n/a — n/a

NextGen Healthcare Mirth Connect before version 4.4.1 is vulnerable to unauthenticated remote code execution. Note that this vulnerability is caused by the incomplete patch of CVE-2023-37679.

CVSS scoreCritical

9.8

EPSS — exploitation probabilityHigh

82.7%

Vector breakdown

Attack vector
Network
Attack complexity
Low
Privileges required
None
User interaction
None
Scope
Unchanged
Confidentiality
High
Integrity
High
Availability
High

CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:H

Published
Oct 26, 2023
Modified
Oct 21, 2025
Added to KEV
May 20, 2024
Federal patch due
Jun 10, 2024

CISA required action

Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable.

Weakness classification

CWE-78Improper Neutralization of Special Elements used in an OS CommandCWE-502Deserialization of Untrusted Data

Proof-of-concept & exploitation references

Weaponization

Nuclei template

Available

Metasploit module

Not found

Public repositories whose name or description references CVE-2023-43208, found via a live GitHub search at request time. These are community-sourced signals, not a verified working exploit - cross-check each one before relying on it, and treat higher star counts and recent activity as (weak) corroboration, not proof.

No public GitHub repositories referencing CVE-2023-43208 were found at last check. Absence here is not proof no exploit exists - see the references below for vendor advisories and write-ups.

References

  • horizon3.ai
  • packetstormsecurity.com

Frequently asked questions

What is CVE-2023-43208?

NextGen Healthcare Mirth Connect before version 4.4.1 is vulnerable to unauthenticated remote code execution. Note that this vulnerability is caused by the incomplete patch of CVE-2023-37679.

How severe is CVE-2023-43208?

CVE-2023-43208 has a CVSS base score of 9.8 out of 10 (CVSS 3.1).

Is CVE-2023-43208 actively exploited in the wild?

Yes. CVE-2023-43208 is listed in the CISA Known Exploited Vulnerabilities (KEV) catalog, added May 20, 2024, meaning CISA has confirmed evidence of active exploitation. It is also flagged as used in ransomware campaigns.

What is the EPSS score for CVE-2023-43208?

82.7% - meaning FIRST.org's EPSS model estimates a 82.7% probability this vulnerability will be exploited in the wild within 30 days (100% percentile among all scored CVEs).

Is there exploit tooling available for CVE-2023-43208?

Yes - a public Nuclei template referencing CVE-2023-43208 exist in public repositories we checked.

What type of vulnerability is CVE-2023-43208?

CVE-2023-43208 is classified under CWE-78, CWE-502 (CWE-78 Improper Neutralization of Special Elements used in an OS Command ('OS Command Injection')).

Cross-checked against

  • NVD (NIST)
  • MITRE CVE Record
  • CISA KEV
  • FIRST.org EPSS
  • GitHub Advisory Database
  • GitHub public repository search

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