How severe is CVE-2023-43208?

CVE-2023-43208 has a CVSS score of 9.8/10, rated CRITICAL. Immediate patching is strongly recommended.

Which packages are affected by CVE-2023-43208?

Affected package information for CVE-2023-43208 is not yet fully mapped. Check the official advisory links for details.

How do I fix CVE-2023-43208?

No patched version of the affected component has shipped for CVE-2023-43208 yet. Where your build allows, override or pin the dependency away from the vulnerable range, and apply any maintainer-recommended mitigation.

How do I detect CVE-2023-43208 in my code and dependencies?

Scan your dependency tree (package-lock.json, pnpm-lock.yaml, requirements.txt, go.sum, etc.) for the affected component. O3's reachability analysis confirms whether the vulnerable code path is actually invoked in your application, so you act on real exposure instead of every transitive match.

How do I mitigate CVE-2023-43208 if there is no patch (or I can't update yet)?

If you can't upgrade right away: gate or disable the affected feature, validate untrusted input at the boundary, and avoid passing attacker-controlled data into the vulnerable path. O3's runtime protection blocks exploitation in production as an interim safeguard until the upgrade lands.

How does O3 Security protect against CVE-2023-43208?

O3 pinpoints whether CVE-2023-43208 is reachable in your code and exactly where to fix it, then blocks exploitation in production at runtime until the patched version is deployed.

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

Yes. There are 10 known exploit references for CVE-2023-43208, including 5 in-the-wild exploitations observed on GitHub and other sources. Treat this as actively exploitable and prioritize patching immediately. All exploit code should only be run in an isolated sandbox environment for research or authorized testing — never against production systems without explicit written authorization.

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

CVE-2023-43208 has an EPSS (Exploit Prediction Scoring System) score of 82.7%, placing it in the 100th percentile of all CVEs. EPSS is maintained by FIRST.org and estimates the probability that a vulnerability will be exploited in the wild within the next 30 days. A score above 50% indicates significantly elevated exploitation risk — immediate patching is strongly recommended.

Is CVE-2023-43208 in the CISA Known Exploited Vulnerabilities catalog?

Yes. CVE-2023-43208 (NextGen Healthcare Mirth Connect Deserialization of Untrusted Data Vulnerability) was added to CISA's Known Exploited Vulnerabilities (KEV) catalog on 2024-05-20. CISA required all US federal civilian agencies to remediate this vulnerability by 2024-06-10. The required action was: Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable. This CVE has been used in known ransomware campaigns. Being listed in the KEV catalog is the strongest possible confirmation of active exploitation — treat this as a critical priority.

What type of vulnerability is CVE-2023-43208?

CVE-2023-43208 is classified as OS Command Injection (CWE-78), Deserialization of Untrusted Data (CWE-502). These weakness types describe the underlying flaw category, which helps determine the potential impact and the right class of mitigation. This is a high-impact weakness class that often enables remote code execution or data exposure.

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

A Nuclei detection template exists for CVE-2023-43208, meaning automated scanners can fingerprint it. Public exploit tooling significantly increases real-world risk — prioritize patching and ensure detection coverage. Exploit tooling should only ever be used in isolated, authorized testing environments.

When was CVE-2023-43208 published, and has it been updated?

CVE-2023-43208 was published on October 26, 2023 and was last updated on August 12, 2026. Advisory data evolves as severity scores, affected ranges, and exploit intelligence are revised — always check the latest version of the advisory before acting.

🛡️

CISA KEV · ACTIVELY EXPLOITED

CRITICAL severity

CVE-2023-43208

CRITICAL

CVE-2023-43208 is a critical-severity (CVSS 9.8) OS Command Injection vulnerability. It is in CISA's Known Exploited Vulnerabilities catalog (added 2024-05-20) and has been used in ransomware campaigns — treat it as actively exploited and patch now. O3 Security confirms whether CVE-2023-43208 is actually reachable in your code before you act, and blocks exploitation at runtime until you patch.

Published

Oct 26, 2023

Updated

Aug 12, 2026

Affected

0 pkgs

Patched

None yet

Exploits

10 known

Exploitation data as of Aug 23, 2026 · OSV.dev, NVD, CISA KEV, FIRST.org (EPSS)

Exploitation Status

Actively exploited in the wild

Confirmed by CISA's Known Exploited Vulnerabilities catalog on 2024-05-20 — including use in ransomware campaigns. Federal agencies were required to remediate by 2024-06-10.
CISA assesses this as automatable — exploitation doesn’t require manual, per-target effort, which raises the odds of mass scanning and opportunistic attacks.
A successful exploit gives an attacker total control of the affected component, not partial access.

Exploitation and automatability from CISA (KEV catalog and SSVC triage) for CVE-2023-43208.

EPSS Exploitation Probability

via FIRST.org ↗

82.7%probability of exploitation in next 30 days

Very High Risk0.00%

Lower risk than most CVEs100th percentile — riskier than 100% of all scored CVEsHighest risk

EPSS (Exploit Prediction Scoring System) is a daily probability model maintained by FIRST.org. It estimates the likelihood a CVE will be exploited in production environments within the next 30 days, derived from real-world threat intelligence signals.

How urgent is this, really

CVE-2023-43208 plotted by exploitation likelihood (EPSS) against impact (CVSS). The shaded corner — EPSS 50%+ and CVSS 7.0+ — is where this CVE sits: patch-first territory.

Where this sits among everything scored

Of 368,770 CVEs with a current EPSS score, this one falls in the 50–90% band (highlighted). Real counts from FIRST.org, not a sample — log-scaled since the landscape is heavily right-skewed.

Description

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.

Exploits & PoCs

Research use only. For defensive security, authorized penetration testing, and academic research only. Never execute exploit code against systems without explicit written authorization.