Cases3 cases

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1. 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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2. IL-0231 Deleting EKS managed node groups also deleted Karpenter's instance profile, and every Stytch worker node shut down

   Stytch2023

   Symptoms

   On 23 February 2023 Stytch's EKS worker nodes went Ready:Unknown one after another, Karpenter failed to launch replacement nodes, and with fewer and fewer pods scheduled the Live Stytch API went down for 14 minutes, returning 5XX on every call.

   Node NotReadyScale-up failurePod evictionPods PendingService outage

   Trigger

   At 14:21 UTC Stytch landed a change to remove unused EKS managed node groups, because it had decided to run its data plane applications fully on nodes provisioned by Karpenter. Because Crossplane resources use an orphan deletion policy, engineers deleted the node groups in the AWS console, first in staging and then in production.

   Root cause

   Configuration change

   Component

   KarpenterNode poolConfiguration templating

   Contributing factor

   Unverified assumptionShared credentialChange with a delayed effectIgnored early signal

   Detection

   Low-urgency alerts that Karpenter could not find the instance profile fired in staging at 16:06 UTC and in production at 17:48 UTC but were not treated as an incident. The incident process started at 20:26 UTC when node launch failures spiked the Karpenter error rate, and Kubernetes monitoring alerts in production followed at 20:44 UTC. The support team flagged the outage at 21:14 UTC.

   Remediation

   • Reverted the node group deletion, which recreated the managed node groups
   • Manually scaled up one of the Live API node groups with more and much larger nodes and removed its taints
   • Removed node selectors from the applications one after another so their pods could be scheduled

   Action items

   • Treat Karpenter errors as high-urgency alerts that page the on-call engineer
   • Tune cluster alerting thresholds to send a high-urgency page earlier
   • Add alerts for nodes that stay NotReady or Unknown for long periods
   • Raise the thresholds of other deployment alerts, such as unschedulable pods and replicas not available
   • Give Karpenter its own IAM instance profile, separate from the one used by the node groups
   • Separate other AWS resources that were shared between uses, specifically IAM and security groups
   • Rework the EKS and Karpenter configuration so system instance profiles are unique, static per cluster and generated by Karpenter
   • Introduce a cloud visualization tool for engineers making infrastructure changes
   • Add live system and product metrics to the status page
   • Ask AWS to confirm the undocumented actions and side effects of deleting a node group
   • Correct the shared use of IAM roles and security groups across the infrastructure

   Lessons

   The IAM role for Karpenter's self-managed nodes should never have been the same as the one for the managed node groups; sharing it is what let the node group deletion break Karpenter, and the roles had been left combined for speed and simplicity when Karpenter was first set up. The hours-long delay between the configuration change and its effect made the incident hard to assess, and AWS confirmed that this delay is expected, so Stytch will allow for it in future IAM instance profile changes.

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3. IL-0011 HAProxy ingress piled requests onto the same pods because a Go template visited the backend map in sorted pod IP order

   Skyscanner2019

   Symptoms

   On a Sunday, a team using one of Skyscanner's Kubernetes clusters manually paged the out-of-hours Kubernetes support because their service showed elevated latency, worst at the p90 and maximum levels.

   High latencyLoad imbalanceOOMKilledIntermittent connection failures

   Trigger

   Upgrading the HAProxy ingress controller to v0.6 and going back from Service virtual IPs to individual pod IPs as backends, on the understanding that the sort-backends flag introduced in v0.5, false by default, meant backends were randomly shuffled.

   Root cause

   Software defect

   Component

   Ingress controllerHAProxyConfiguration templating

   Contributing factor

   Unrepresentative stagingUnverified assumptionIgnored early signal

   Detection

   A cluster user manually paged the out-of-hours Kubernetes support about elevated latency; Prometheus queries then showed the uneven request distribution across pods.

   Remediation

   • switched the affected service from pod IPs back to the Service virtual IP through a config change in the internal deployment tool Slingshot
   • patched the controller to keep each backend's servers in an insertion-ordered slice and changed the template to iterate over that slice
   • tested the patch in sandbox clusters and rolled it out to the production clusters

   Action items

   • Run the internal controller patch in production and return to pod IPs as the default backends
   • Raise the problem upstream with a GitHub issue and pull request
   • Test changes to cluster components against the specific behaviour and conditions that matter

   Lessons

   The team already knew that sorted backends cause hot-podding and still did not test the new flag well enough to see that it did not work; changes to cluster components need tests aimed at the exact behaviour that matters, under conditions like production. A keyword can behave differently in different parts of a language: range over a map is unordered in Go code but sorted in text/template. A small cluster component can do outsized harm to every user of the cluster and, in the end, to customers.

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