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.
CVE-2023-43208
“—” beside the score: it is equal to NVD's CVSS score.
Score elevated to 9.8 because this CVE is listed on the CISA Known Exploited Vulnerabilities catalog (added 2024-05-20), indicating real-world exploitation has been confirmed by US federal agencies. NVD baseline CVSS 9.8 retained for reference. Confidence: HIGH.
- Actively exploited in the wild (CISA-KEV) — the reason this is sooner than the SSVC decision on this page at low mission impact
No fix is confirmed yet — apply a workaround or compensating control (WAF / firewall / segmentation) and watch for the fix.
The CVE record's description, written by its CNA (MITRE Corporation), states the affected versions: "NextGen Healthcare Mirth Connect before version 4.4.1 is vulnerable to unauthenticated remote code execution." No release containing a fix is confirmed on record.
- CVSS v3
- 9.8
- EG Score
- 9.8CRITICALhigh confidence
- EG Risk
- 99EG Risk 99/100
EG Risk is EchelonGraph's 0–100 priority score. It fuses impact severity (EG Severity, the CVSS base score, never the KEV-floored or EPSS-lifted EG Score) with real-world exploitation and automatability, under weights EchelonGraph set by hand, so you can rank equal-severity CVEs and fix the most dangerous first. Higher = act sooner.
How it’s computed (value × EchelonGraph’s weight)Severity98% × 45%Impact severity (EG Severity): CVSS 9.8 of 10. Never the KEV-floored or EPSS-lifted EG Score.Exploitation100% × 40%Fixed at 100% for a CISA KEV listing: EchelonGraph's rule.Automatability100% × 15%CISA's SSVC Automatable value: yes (Vulnrichment).SSVC (CISA's decision table, applied by EchelonGraph): Attend at low mission impact; Act at medium or high.Exploitation active (CISA Vulnrichment) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). All three are CISA's SSVC values (Vulnrichment). EchelonGraph applied CISA's decision table to them; CISA publishes SSVC inputs and the table, not a decision for each CVE.Action: No fix is confirmed yet. Restrict network exposure of the affected system or apply the vendor's mitigation sooner than your standard update timelines at low mission impact and as soon as possible at medium or high, and watch the vendor's advisory for the fix. - EPSS PROB
- 83%
- EPSS %ILE
- 99th
- KEV
- ⚠ Exploited
What the EG score is made of (scorer v4.0: the three questions the 0–10 score mixes, published apart · methodology)
The EG score (9.8): severity, escalated by confirmed exploitation. This CVE's 9.8 is its impact severity (EG Severity), not escalated.
- EG Severity
- 9.8 CRITICALCVSS-B, impact only: no KEV listing, EPSS or EG-KEV tier raises it.GitHub Security Advisory CVSS
- EG Likelihood
- 83% within 30 daysSource: FIRST EPSS (model v2026.06.15, score date 2026-10-23). FIRST's exploitation probability, not an EchelonGraph model.
- Confirmed exploitation
- CISA KEV and EG-KEV Tier 1 (exploited in the wild)Reported apart from the likelihood: an observed fact, not a probability.
- EG Priority
- SSVC Act at medium mission impactAttend at low mission impact; Act at medium or high.CISA BOD 26-04: 3 days & forensic triage if the affected system is publicly exposed; 3 days & forensic triage if it is not.Each input and its source: the SSVC and BOD 26-04 blocks below.
SSVC (CISA's decision table, applied by EchelonGraph)Attend at low mission impact; Act at medium or high.
No fix is confirmed yet. Restrict network exposure of the affected system or apply the vendor's mitigation sooner than your standard update timelines at low mission impact and as soon as possible at medium or high, and watch the vendor's advisory for the fix.
Exploitation active (CISA Vulnrichment) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). All three are CISA's SSVC values (Vulnrichment). EchelonGraph applied CISA's decision table to them; CISA publishes SSVC inputs and the table, not a decision for each CVE. Mission impact is CISA's Mission & Well-being decision point, and only you can judge it. CISA's table makes it high when Mission Prevalence is Essential — the vulnerable component "directly provides capabilities that constitute at least one MEF for at least one entity" (MEF: mission essential function) — or when Public Well-Being Impact is Irreversible: "multiple fatalities are likely", the cyber-physical system "is likely lost or destroyed", "extreme or serious externalities" are imposed on other parties, or social systems such as elections or the financial grid "are destabilized and potentially collapse". CISA's decision table
BOD 26-04 (CISA's remediation timeline, Table 1)3 days & forensic triage if the affected system is publicly exposed; 3 days & forensic triage if it is not.
In CISA KEV yes (CISA's KEV catalog) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). Whether your system is publicly exposed is yours to answer. BOD 26-04 binds US Federal Civilian Executive Branch agencies; for anyone else it is CISA's published timeline, a reference rather than an obligation. The directive · how EchelonGraph applies it
CISA required action“Apply mitigations per vendor instructions or discontinue use of the product if mitigations are unavailable.”
Quoted verbatim from CISA's Known Exploited Vulnerabilities catalog. CISA directs it at US federal civilian executive branch agencies under Binding Operational Directive (BOD) 26-04, which replaced BOD 22-01 on 10 June 2026; it is not EchelonGraph's advice. CISA's notes: https://github.com/nextgenhealthcare/connect/wiki/4.4.1---What%27s-New · https://nvd.nist.gov/vuln/detail/CVE-2023-43208
Published
October 26, 2023
Last Modified
June 17, 2026
Advisory Details (3)
Auto-updated Oct 19, 2026Known Exploited Vulnerabilities Catalog | CISA
Known Exploited Vulnerabilities Catalog | CISA. Listed in CISA Known Exploited Vulnerabilities catalog.
https://www.cisa.gov/known-exploited-vulnerabilities-catalog?field_cve=CVE-2023-43208NextGen Mirth Connect RCE | Horizon3
https://www.horizon3.ai/nextgen-mirth-connect-remote-code-execution-vulnerability-cve-2023-43208/Weakness Classification(2)
MITRE Common Weakness Enumeration — the root-cause categories this CVE belongs to.
Data Freshness Timeline
(refreshed 17× in last 7d / 173× in last 30d)
Each row is a time one of our pipelines fetched, updated or re-scored this CVE. For example, "NVD update" means NVD published or revised its analysis for this CVE; "MITRE cvelistV5" means we ingested or refreshed it from the CNA feed. An arrow marks a change the record states ("CVSS v3 → 9.1"); EPSS and GHSA rows show the values recorded at that time, not what changed (EPSS values are rounded; hover one for the exact figures). Most recent first.
Showing the most recent 100 of 1,081 refreshes on record for this CVE.
A repeat, a row identical to one the same pipeline wrote less than 10 seconds earlier, is not a separate refresh and is not counted. None are among the latest 100 rows. The 981 oldest rows on record are not shown and were not checked, so the counts can still include repeats.
- 2026-10-23 21:43 UTCEG score recompute
- 2026-10-23 21:43 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-23 16:29 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-22 21:00 UTCEG score recompute
- 2026-10-22 20:59 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-21 20:16 UTCEG score recompute
- 2026-10-21 20:16 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-21 16:29 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-20 19:32 UTCEG score recompute
- 2026-10-20 19:32 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-19 18:48 UTCEG score recompute
- 2026-10-19 18:48 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-18 18:04 UTCEG score recompute
- 2026-10-18 18:04 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-18 07:51 UTCEG score recompute
- 2026-10-17 17:19 UTCEG score recompute
- 2026-10-17 17:18 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-16 16:35 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-16 10:59 UTCEG score recompute
- 2026-10-16 10:58 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-15 16:29 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-15 10:13 UTCEG score recompute
- 2026-10-15 10:13 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-14 16:30 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-14 09:27 UTCEG score recompute
Show 75 moreShow fewer
- 2026-10-14 09:27 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-13 16:30 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-13 08:43 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-12 18:19 UTCEG score recompute
- 2026-10-12 07:57 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-12 04:17 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-12 00:36 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 20:55 UTCEG score recompute
- 2026-10-11 20:55 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 17:18 UTCEG score recompute
- 2026-10-11 17:17 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 13:39 UTCEG score recompute
- 2026-10-11 13:39 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 09:57 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 06:18 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-11 02:39 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 23:01 UTCEG score recompute
- 2026-10-10 23:01 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 19:57 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-10 19:23 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 15:45 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 12:07 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 08:28 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 04:50 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-10 01:12 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 21:33 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 17:54 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 14:15 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 10:37 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 06:56 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-09 03:18 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 23:40 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 20:02 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 16:23 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 12:42 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 09:02 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 05:25 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-08 01:47 UTCEG score recompute
- 2026-10-08 01:47 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 23:46 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-07 22:09 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 18:30 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 14:52 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 11:14 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 07:36 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 03:58 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-07 00:20 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 20:42 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 17:04 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 13:26 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 09:48 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 06:08 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-06 02:29 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 22:50 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 19:13 UTCEG score recompute
- 2026-10-05 19:12 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 17:41 UTCEPSS rescoreEPSS 83% · 99th percentile
- 2026-10-05 15:34 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 11:56 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 08:19 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 04:41 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-05 01:03 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 21:25 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 17:47 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 14:08 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 10:28 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 06:50 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-04 03:12 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 23:34 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 19:56 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 16:18 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 12:41 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 09:02 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 05:23 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
- 2026-10-03 01:45 UTCGHSA enrichmentGHSA-pj5c-qr29-6746 · GitHub severity CRITICAL · GitHub CVSS 9.8
Publicly available exploits
(9 references)Public exploit code is referenced for this CVE (1 Metasploit module, 7 GitHub PoCs), as is 1 Nuclei detection template. A detection template checks whether a system is affected; it is not necessarily exploit code. No fix is confirmed yet, so defenders should restrict or isolate affected systems accordingly until one is published.
- Metasploitexploit/multi/http/mirth_connect_cve_2023_43208✓ verifiedPublished Jan 30, 2024
Mirth Connect Deserialization RCE
Open source ↗ - GitHub PoCaz4rvs/Mirth-Connect-CVE-2023-43208Published Feb 26, 2026
Python implementation of CVE-2023-43208 Mirth Connect RCE (Unauth XStream)
Open source ↗ - GitHub PoCazrvs/Mirth-Connect-CVE-2023-43208Published Feb 26, 2026
Python implementation of CVE-2023-43208 Mirth Connect RCE (Unauth XStream)
Open source ↗ - GitHub PoCpredyy/CVE-2023-43208Published Feb 25, 2026
PoC for CVE-2023-43208 RCE exploitation.
Open source ↗ - GitHub PoCMKIRAHMET/PoC-2023-43208Published Feb 24, 2026
A proof-of-concept exploit for CVE-2023-43208, a remote code execution vulnerability in Mirth Connect before version 4.4.1.
Open source ↗ - GitHub PoCkyakei/CVE-2023-43208Published Feb 22, 2026
CVE-2023-43208: Mirth Connect Pre-Auth RCE PoC
Open source ↗ - GitHub PoCAvento/CVE-2023-43208_Detection_PoCPublished Nov 28, 2024
Use java.net.InetAddress for detection
Open source ↗ - Nucleihttp/cves/2023/CVE-2023-43208.yamlPublished May 1, 2024
NextGen Healthcare Mirth Connect - Remote Code Execution
Open source ↗ - Open source ↗GitHub PoCjakabakos/CVE-2023-43208-mirth-connect-rce-pocPublished Mar 17, 2024
Related CVEs(same CWE)
Same CWE
10 shownCWE-502 · CWE-78
Frequently asked(6)
What is CVE-2023-43208?
When was the CVE record for CVE-2023-43208 published?
Is CVE-2023-43208 actively exploited?
What is the CVSS score of CVE-2023-43208?
Which products are affected by CVE-2023-43208?
How do I remediate CVE-2023-43208?
Dependency Blast Radius
Explore the affected products and dependency analysis for CVE-2023-43208
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