This advisory highlights TTPs and IOCs DPRK cyber actors used to gain access to and conduct ransomware attacks against Healthcare and Public Health (HPH) Sector organizations and other critical infrastructure sector entities, as well as DPRK cyber actors’ use of cryptocurrency to demand ransoms. This CSA provides an overview of Democratic People’s Republic of Korea (DPRK) state-sponsored ransomware and updates the July 6, 2022, joint CSA North Korean State-Sponsored Cyber Actors Use Maui Ransomware to Target the Healthcare and Public Health Sector. This CSA is supplementary to previous reports on malicious cyber actor activities involving DPRK ransomware campaigns—namely Maui and H0lyGh0st ransomware. The authoring agencies are issuing this advisory to highlight additional observed TTPs DPRK cyber actors are using to conduct ransomware attacks targeting South Korean and U.S.