Cases43 cases

8 to 12 of 43

1. IL-0171 Karpenter node auto-repair replaced EKS GPU nodes about 10 minutes after they became Ready, in a loop, because the Bottlerocket NVIDIA AMI lacked libdcgm.so and set AcceleratedHardwareReady to False

   Inflab2025

   Symptoms

   GPU nodes for an AI video upscaling job were created normally and reached Ready, and then about 10 to 11 minutes later Karpenter treated each one as unhealthy and replaced it. Every new node went the same way, so the GPU pods kept restarting and the upscaling work could not make progress.

   Node recreation loopGPU unavailable

   Trigger

   Enabling Karpenter's node auto-repair feature gate (nodeRepair: true) and then running GPU pods on nodes from the Bottlerocket NVIDIA AMI.

   Root cause

   Software defect

   Component

   KarpenterNode operating system imageGPU driver

   Contributing factor

   Automation amplificationUnverified assumption

   Detection

   The team noticed GPU nodes being replaced repeatedly after running GPU pods, then found the DCGMError message in the node events.

   Remediation

   • Disabled Karpenter node auto-repair by setting the nodeRepair feature gate to false

   Lessons

   Automatic node repair acts on every unhealthy node condition, including AcceleratedHardwareReady, so an image defect that only breaks GPU health monitoring is enough to have every GPU node terminated and recreated in a loop. Before turning on auto-repair, check which conditions it watches and whether the node image reports them correctly. Disabling auto-repair stops the loop at once but is only a temporary measure; installing the missing library or changing the AMI address the cause but cost more on an immutable OS such as Bottlerocket.

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2. IL-0006 VPC subnets ran out of IP addresses because the AWS VPC CNI kept IPs on full nodes, and WARM_IP_TARGET changes then blocked pod starts after every pod deletion

   Neon2025

   Symptoms

   On 16 May 2025, in Neon's Kubernetes cluster in AWS us-east-1, new compute pods were scheduled but could not start and failed with IP allocation errors. Each Neon compute is a Postgres database running in a lightweight virtual machine in its own pod, so without new pods, idle customer databases could not be woken up.

   IP address exhaustionPods Pending

   Trigger

   On 16 May the Neon control plane's periodic job that terminates idle computes started failing. Compute creations continued, and the number of active computes rose from about 5k to about 8.1k within minutes. On 19 May, a follow-up change that set WARM_IP_TARGET back to 1 started the second round of failures.

   Root cause

   Capacity exhaustion

   Component

   AWS VPC CNIVPC subnet or pod address rangeCluster autoscaler

   Contributing factor

   Unreviewed defaultsNo capacity planningUnverified assumptionHarmful manual actionIneffective rollbackRetry storm

   Detection

   As cluster-autoscaler added nodes, the team saw IP allocation errors on new pods that were scheduled but could not start. The rate of successful pod starts and VPC subnet metrics were then used to follow the problem.

   Remediation

   • Set WARM_IP_TARGET=1 to release IPs held by nodes without free CPU or memory
   • Fixed the control plane's periodic job so idle computes were terminated again
   • Restarted the aws-node DaemonSet several times, each with a temporary improvement
   • Set WARM_IP_TARGET=0, MINIMUM_IP_TARGET=0 and WARM_ENI_TARGET=0, which let nodes allocate enough IPs and stabilised the cluster
   • On 19 May, set WARM_IP_TARGET back to 0 after setting it to 1 failed again
   • Enlarged the pool of pre-created warm compute pods to absorb failed pod starts

   Action items

   • Open a pull request to AWS CNI to improve how ipamd releases IPs in this situation
   • Follow up with AWS Support about the roughly 100 subnet IPs that were never allocated, for reasons Neon could not explain
   • Change the architecture to support horizontal scaling

   Lessons

   With default settings AWS CNI can keep many IPs on nodes that cannot use them, so the share of subnet IPs assigned to pods does not tell how close the subnet is to running out. WARM_IP_TARGET and WARM_ENI_TARGET follow different logic, a warm IP target of zero switches to the ENI logic, and IPs in cooldown count toward the target, which behaves badly under high pod churn. Changing these settings during an incident without knowing that logic prolonged the outage, and reverting a setting did not bring back the earlier healthy state.

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3. IL-0324 Three MediaWiki deployments lost Memcached after a PHP 8.1 rollout and overloaded the External Storage database cluster

   Wikimedia Foundation2025

   Symptoms

   On 2025-03-12 from 10:58 UTC, alerts for high backend response times came in, and the MediaWiki deployments mw-api-int, mw-parsoid and mw-jobrunner, which serve MediaWiki for non-user-facing purposes, showed high latency and database errors. The External Storage cluster, whose hosts store the compressed text of wiki page revisions, had a sharp rise in load and connections. The same happened again on 2025-03-13 from 11:15 UTC.

   Database overloadHigh latencyHigh error rateLog floodMonitoring outage

   Trigger

   At 10:44 UTC on 12 March a Scap deployment of the PHP 8.1 rollout for mw-api-int, mw-parsoid and mw-jobrunner was run with the flag -Dbuild_mw_container_image:False; the rollout was deployed with Scap again at 11:15 UTC on 13 March.

   Root cause

   Faulty deployment

   Component

   DatabaseIn-memory cacheConfigMaps and SecretsHelmCI system

   Contributing factor

   Unverified assumptionDependence on a warm cacheSignal buried in noise

   Detection

   Alerts for high backend response times started at 10:58 UTC on 12 March, 14 minutes after the Scap deployment; 2 on-call engineers were paged. The MediaWikiMemcachedHighErrorRate alert that pointed at the cause fired only briefly because its log pipeline was overloaded.

   Remediation

   • Deployed a patch to cirrus-streaming-updater that reduced SUP parallelism
   • Reduced the concurrency of the categoryMembershipChange job in changeprop-jobqueue
   • On 12 March, reverted 1126607 and 1126650 and re-ran Scap
   • On 13 March, rolling-restarted changeprop-jobqueue
   • Rolling-restarted mw-api-int
   • Disabled the categorymembership job in changeprop-jobqueue
   • Reverted 1127476 and 1127478
   • Redeployed mw-api-int to pick up the revert
   • Increased the number of mw-api-int replicas
   • Redeployed mw-jobrunner to pick up the revert
   • Redeployed mw-parsoid to pick up the revert

   Action items

   • Reduce the number of messages sent through channel:Memcached during failures
   • Add helm rollback functionality to Scap
   • Decide whether Scap should update helmfile-defaults when -Dbuild_mw_container_image:False is set
   • Consider removing envvars.inc from MediaWiki images
   • Consider "Why" dashboards that give an overview of a group of related components together with relevant links to follow
   • Coordinate incident responders better
   • Be able to work with MediaWiki developers during incidents

   Lessons

   The write-up puts the weight not on the technical root cause but on why the team could not see, even after the 12 March incident, that three MediaWiki deployments were running without Memcached. Alert dashboards showed what was happening, such as many busy PHP workers, but not why; dashboards linking components that affect each other, such as SQLBlobStore keys and External Storage, would have helped. The alert that pointed in the right direction did not stay firing and would probably have been lost among 78 others. The incident coordinator could not tell who was working on what or who had joined or left, the channels were noisy, the external impact was judged more critical than it was, and trace.wikimedia.org was not used although it might have helped.

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4. IL-0192 A Crossplane composition merge-policy change for a TLS policy update switched Kubernetes Services from LoadBalancer to ClusterIP and deleted the load balancers behind about 25% of Grafana Cloud services

   Grafana Labs2025

   Symptoms

   At 08:41 UTC on 18 February 2025, several Grafana Labs application teams noticed that some of their endpoints were no longer available. The investigation quickly found that the load balancers for those endpoints were gone.

   Service outageResources deleted

   Trigger

   A change to the merge policy of a Crossplane composition, made so that the default TLS policy of the load balancers could be overridden, was applied to development, staging and production at the same time.

   Root cause

   Configuration change

   Component

   Configuration templatingCloud load balancer

   Contributing factor

   Unverified assumptionNo staged rolloutExcessive blast radiusNo safeguard on destructive change

   Detection

   Application teams noticed at 08:41 UTC that some of their endpoints were no longer available.

   Remediation

   • rolled back the Crossplane composition change
   • recreated the affected Kubernetes Services so that Kubernetes recreated their load balancers

   Action items

   • Add a CI check that blocks a deployment to more than one wave, so any exception to the dev, staging, canary, production order is caught
   • Give higher priority to a more sophisticated wave design that was already under discussion
   • Enable deletion protection on the load balancers, one layer below Crossplane
   • Enable deletion protection on other critical cloud provider resources
   • Develop the Crossplane Managed Resources exporter for change validation and visibility, now in beta testing within Platform engineering; simulated against the change that caused this outage, it shows a clear diff
   • Complete and test support for reconfiguring the TLS policy so application teams can deploy it

   Lessons

   A change that looked small and low-risk had a side effect that only a full end-to-end test through Crossplane and the cloud provider's load balancer controller would have shown; seeing the intended override work was not that test. Staged rollout and blast-radius limits that exist only as process can be skipped, so Grafana Labs moved to enforce waves in CI and to add deletion protection on the load balancers themselves, beneath the Crossplane layer.

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5. IL-0433 Shifting API traffic from EC2 to EKS on Fargate overloaded two CoreDNS pods and caused mass name-resolution errors

   MonotaRO2023

   Symptoms

   When MonotaRO raised the share of requests for the remaining endpoints of its backend API sent to EKS from 1% to 25%, Sentry filled with errors saying the API could not reach the database and outside services. The errors were about DNS name resolution, and the traffic had to be shifted back to the EC2 version.

   DNS resolution failuresHigh error rate

   Trigger

   MonotaRO raised the share of requests for the remaining API endpoints routed by the ALB to the EKS version from 1% to 25%.

   Root cause

   Capacity exhaustion

   Component

   CoreDNSClient-side DNS resolver and cacheContainer CPU limitHorizontal pod autoscalerPod termination

   Contributing factor

   Unreviewed defaultsNo resource requests or limitsUnrepresentative stagingUnverified assumption

   Detection

   Sentry showed a large number of errors about connecting to the database and outside services right after the traffic share was raised.

   Remediation

   • Shifted the requests back to the EC2 version to stop the errors
   • Added an HPA to autoscale the CoreDNS pods as a stopgap, which let the migration to EKS finish

   Action items

   • Set ndots to 1 through dnsConfig in the application Deployments
   • Set cache 600 in the Corefile in the coredns ConfigMap to lengthen the CoreDNS cache TTL
   • Add lameduck 30s to the CoreDNS health plugin so CoreDNS keeps serving while it is scaled in
   • Consider reducing the differences between production and staging, weighed against cost

   Lessons

   MonotaRO assumed that a managed service would not cause problems and so skipped researching other companies' migrations, load testing and monitoring. Staging differed from production in its network layout, so ndots differed between them, and staging databases could not take a high-load test. Looking at the CoreDNS logs and resolv.conf instead of guessing found that ndots:5 made lookups of outside names try every search domain first.

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