Cases24 cases

1 to 5 of 24

1. IL-0512 xpro.mit.edu returned 503 for an hour when its Kubernetes/APISIX origin certificate expired after renewal failed

   MIT Open Learning2026sev1

   Symptoms

   At 3:38 PM EDT on 3 June 2026, alerts fired because both the xPRO production CMS and the main xPRO site at https://xpro.mit.edu were returning 503 errors. Fastly, in front of the site, could not connect to the Kubernetes/APISIX origin, because the origin certificate for xpro-web.odl.mit.edu had expired at 3:29 PM EDT.

   Service outageTLS certificate errors

   Trigger

   The origin certificate xpro-cert for xpro-web.odl.mit.edu, issued on 2026-03-05 with a 90-day validity period, expired at 3:29 PM EDT on 3 June 2026.

   Root cause

   Configuration change

   Component

   cert-managerCDN and edge networkAuthoritative DNS servers and records

   Contributing factor

   No configuration testsMonitoring blind spotChange with a delayed effect

   Detection

   Alerts for the xPRO production CMS and the main xPRO site fired at 3:38 PM EDT on the 503 errors, and a Rootly incident was created at 4:08 PM EDT.

   Remediation

   • Deleted and recreated the stale cert-manager certificate resources so that cert-manager issued a fresh origin certificate

   Action items

   • Remove the backend origin domain from the non-OpenEdX xPRO Fastly TLS subscription, so Fastly manages only xpro.mit.edu
   • Deploy the Pulumi update for the xPRO application in Production
   • Trigger cert-manager renewal of the xPRO certificate after the conflicting Fastly validation CNAME is removed
   • Consider tests or policy checks that keep cert-manager-managed origin domains out of Fastly TLS subscriptions
   • Consider alerting earlier on failed cert-manager CertificateRequests and Orders, so stale ACME failures are found before the certificate expires

   Lessons

   Reading the outage as a failed cert-manager ACME renewal was true but incomplete; the missing part was that Fastly had been set to manage validation for a backend origin domain that belonged to cert-manager. The team concluded that TLS certificates and DNS validation records need guardrails around ownership, and that public Fastly frontend domains and Kubernetes/APISIX origin domains must not be treated as interchangeable service domains in TLS automation.

   View case
2. IL-0499 Discord voice and video calls hung at Awaiting Endpoint for three hours after 17% of sessions stopped at once

   Discord2026

   Symptoms

   From 12:13 to 15:30 PDT on 25 March 2026, voice and video on Discord were heavily degraded. Users mostly could not start or join calls and saw "Awaiting Endpoint" in their call status.

   Service outage

   Trigger

   A routine change to tune the sessions service cluster on Kubernetes gave each pod more CPU and memory and lowered the pod count in proportion. When it was deployed to the first zone at 12:13 PDT, Kubernetes terminated 50% of that zone's pods, and the termination grace period ran out before the sessions could be handed off.

   Root cause

   Configuration change

   Component

   Pod terminationCoordination and key-value storeDatabase proxy and connection pooler

   Contributing factor

   Retry stormUnknown limit

   Remediation

   • Set low syncer spawn rate limits in the calls, streams and guilds services and restarted the voice syncers cluster
   • Restarted voice syncers instances one at a time, and four of the first five recovered fully
   • Brought 15 new voice syncers instances online, doubling capacity and halving the syncers per instance
   • Restarted the last backed-up voice syncers instance, leaving the doubled cluster fully healthy

   Action items

   • Add a validating admission webhook that rejects a scale-down of Elixir workloads until each pod has handed off its processes
   • Replace the Holster.Pool supervisor with a PartitionSupervisor so outgoing connections are created and checked out concurrently
   • Move gun connection process lifecycle management into Holster.Pool so the gun connection supervisor is no longer used
   • Tune the upstream rate limits that call into voice syncers, with load shedding tooling that can force them
   • Add rate limits on endpoint selection in voice syncers to limit outbound connection creation
   • Monitor the HTTP connection pooling mailboxes
   • Review and expand instrumentation and logging for service discovery announcement and voice syncer RPCs to SFUs
   • Monitor the most critical processes across all services instead of aggregate metrics such as overall mailbox health
   • Bring more workloads into Kubernetes so capacity can be scaled with a single command instead of provisioning VMs by hand
   • Re-architect the A/V system to scale its control plane services horizontally across multiple regions

   Lessons

   Discord says a large enough traffic spike will find a bottleneck somewhere; in earlier large-load incidents its ScyllaDB databases limited recovery, and this time the bottleneck moved to the voice services. Facing a capacity constraint, the team asks whether to increase supply, such as adding services, or reduce demand, such as rate limiting inbound traffic. During an incident it matters to know the toolbox, and Elixir and the BEAM give engineers many introspection options. Any slowdown in the hot loop of a single-threaded process can degrade both the service and the user experience.

   View case
3. IL-0063 VPN outage after recreating a Redis StatefulSet restarted the whole Redis cluster without readiness checks

   AdGuard VPN2025

   Symptoms

   The day began with an alert that several instances of the Redis cluster were running out of disk space. That part was fixed quickly. The outage came an hour later: right after the Redis StatefulSet was deleted and recreated at 8:10 UTC, Kubernetes restarted every Redis pod within about five minutes, and problems started to appear.

   Service outageOOMKilledProbe failuresHigh latency

   Trigger

   To make Git match the volumes that had been resized by hand, the Redis StatefulSet was deleted with orphan (non-cascading) deletion and recreated with the new storage template; Kubernetes reconciled the new spec by restarting the entire Redis cluster.

   Root cause

   Configuration change

   Component

   Persistent volumes and stateful setsIn-memory cacheContainer memory limit

   Contributing factor

   No health probesUnverified assumptionSingle point of failureRetry stormNo headroom

   Detection

   An alert about Redis instances running out of disk space started the work; the outage itself showed up as backend errors about Redis connections right after the StatefulSet was recreated.

   Remediation

   • made the Redis masters forget obsolete node identities, reset the affected replicas and rejoined them, then waited for replication to catch up
   • identified the component that was actually running out of memory, scaled the backend service and raised memory limits for that component
   • temporarily relaxed probes so backend instances took traffic immediately instead of flapping between ready and not ready
   • reverted the temporary workarounds at 10:00 UTC

   Action items

   • Add startup probes so a Redis pod is not marked ready until its dataset is loaded
   • Build an own control plane for Redis that handles restarted pods stuck to an old master address
   • Reduce dependence on the single Redis cluster: move some important data to other stores, such as a separate Redis cluster per server, and use Kafka for some backend components

   Lessons

   The disk resize was not the problem; the cleanup afterwards was. An immutable field pushes operators toward deleting and recreating the controller, and that can set off a full reconcile. Startup and readiness probes are what slow a rolling restart down to a safe pace; without them a distributed store restarts in the most fragile way. Recovery plans must expect a cluster to heal slowly, and dependent services need to degrade gracefully while it does.

   View case
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.

   View case
5. IL-0005 A new telemetry service overloaded the Kubernetes API servers of large clusters and broke DNS-based service discovery for all OpenAI services

   OpenAI2024

   Symptoms

   Alerts fired at 3:13 PM PST on 11 December 2024, and from 3:16 PM every OpenAI service was significantly degraded or completely unavailable, including ChatGPT, the API and Sora. The status page reported API calls returning errors and difficulties logging in to platform.openai.com and ChatGPT. Customer impact peaked at 3:40 PM.

   Service outageHigh error rateControl plane unresponsiveDNS resolution failures

   Trigger

   At 2:23 PM PST a change introducing a new telemetry service, which collects detailed Kubernetes control plane metrics, was merged and the deployment pipeline started. Between 2:51 PM and 3:20 PM the change was applied to all clusters.

   Root cause

   Configuration change

   Component

   Kubernetes API serverClient-side DNS resolver and cacheTelemetry agent

   Contributing factor

   Unrepresentative stagingNo staged rolloutCache-masked failureMonitoring blind spotLimited debug access

   Detection

   OpenAI's detection tools worked: alerts fired at 3:13 PM PST, a few minutes before customer impact began at 3:16 PM, and the root cause was identified at 3:16 PM.

   Remediation

   • Scaled clusters down to reduce the total Kubernetes API load
   • Blocked network access to the Kubernetes admin APIs so no new expensive requests arrived
   • Scaled up the Kubernetes API servers
   • Removed the telemetry service once enough control was back
   • Moved traffic from impacted clusters to healthy ones
   • Intervened manually in clusters where simultaneous resource downloads saturated resource limits

   Action items

   • Put every infrastructure configuration change through a phased rollout with continuous monitoring of both the service workloads and the clusters, including the Kubernetes control plane
   • Run fault injection tests in which the data plane runs without the control plane for longer, and tests that roll out bad changes on purpose to check detection and rollback
   • Build break-glass mechanisms so engineers can reach the Kubernetes API servers in any circumstances
   • Decouple the Kubernetes data plane from the control plane so that service discovery for critical workloads does not depend on the control plane
   • Speed up recovery with better caching and dynamic rate limiters for resources needed at cluster startup, and regular drills that rapidly replace an entire cluster

   Lessons

   Several systems and processes failed at once and interacted in unexpected ways: tests did not catch the change's effect on the Kubernetes control plane, DNS caching put a delay between the change and the failures, and being locked out of the control plane made remediation very slow. Because service discovery used Kubernetes DNS, the control plane was carrying load for product traffic even though the data plane was meant to be independent of it.

   View case

By root cause1