Cases11 cases

1 to 5 of 11

1. IL-0179 With DEBUG logging and synchronous log output, a high-traffic service filled the 64 KB stdout pipe, so request threads blocked in write() while holding database connections and HikariCP ran dry, failing requests in 30-second bursts

   MUSINSA2026

   Symptoms

   The on-call engineer for a high-traffic service was alerted that requests were failing in large batches every 30 seconds.

   High error rateIntermittent timeoutsConnection pool exhaustion

   Trigger

   DEBUG level logging was on in production when traffic surged, raising log volume to about 100 times normal while the service logged synchronously.

   Root cause

   Configuration change

   Component

   Application logging libraryContainer runtimeTelemetry agentApplication database

   Contributing factor

   Unverified assumptionExcessive blast radius

   Detection

   The on-call engineer was alerted that requests were failing in large batches every 30 seconds.

   Action items

   • Replace synchronous logging with TraceAwareAsyncAppender, which captures trace_id and span_id on the calling thread and drops logs instead of blocking when the queue is full (neverBlock=true)
   • Keep the amount of log output at a sustainable level, since an asynchronous queue still fills under sustained overload

   Lessons

   Removing AsyncAppender to keep trace IDs also removed the protection that kept request threads away from stdout back-pressure. A company-wide standard applies the same side effect to dozens of services, so check what a standard rests on and what working behaviour it takes away. ThreadLocal context does not cross into an asynchronous worker, but capturing it on the calling thread before handing the event off keeps both the IDs and the asynchronous output. Under extreme load, dropping log lines is preferable to stopping request handling.

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2. IL-0122 An invalid value in a configuration shared by several ChatGPT services put pods into crash loops and raised error rates

   OpenAI2025

   Symptoms

   From 7:43 PM to 8:38 PM PDT on July 15, 2025, a small percentage of ChatGPT users saw more errors in their conversations.

   Container crash loopHigh error rate

   Trigger

   An internal engineer applied a configuration change that contained an invalid value.

   Root cause

   Configuration change

   Component

   –

   Contributing factor

   Excessive blast radiusNo staged rollout

   Remediation

   • reverted the configuration to the correct value
   • started a rolling restart of the affected pods to force them to resynchronise

   Action items

   • Roll out future critical configuration changes for the service to a single cluster first, with automated health guards that stop the rollout if availability drops
   • Move to a service-specific configuration value instead of one shared between services
   • Improve deployment safeguards

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3. 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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4. IL-0118 A global change to Kubernetes namespace labels made the networking layer recompute metadata and overwhelmed the control planes of three of OpenAI's largest GPU clusters

   OpenAI2024

   Symptoms

   From 10:15 am PT on 25 November 2024 a large share of both API and ChatGPT traffic failed with timeouts and 503 errors.

   High error rateHigh latencyControl plane unresponsive

   Trigger

   A global change to Kubernetes namespace labels caused the networking layer to recompute metadata. The change had rolled out to the small clusters without problems.

   Root cause

   Configuration change

   Component

   Kubernetes API server

   Contributing factor

   Excessive blast radiusLimited debug access

   Remediation

   • moved workloads out of the impacted clusters by hand
   • with the cloud provider, scaled up the number of control plane nodes while scaling down the number of data plane nodes, which let the control planes recover

   Action items

   • Lock namespace changes so this incident cannot recur
   • Freeze certain types of infrastructure deploys
   • Allowlist identities to prevent a recurrence of this class of incidents
   • Improve the GPU load balancing logic so traffic is re-routed automatically and more effectively when possible
   • Improve change management for fleet-wide infrastructure changes

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5. IL-0152 An incorrect configuration applied during maintenance made an internal infrastructure cluster automatically delete the control planes of 200 DOKS clusters in FRA1

   DigitalOcean2024

   Symptoms

   At 13:02 UTC on 2024-01-23 DigitalOcean posted that, as of 12:18 UTC, its engineers were investigating an issue with Kubernetes clusters in the FRA1 region and that users might see errors when communicating with their clusters. The control planes of the affected DOKS (DigitalOcean Kubernetes) clusters had become inaccessible.

   Resources deletedControl plane unresponsive

   Trigger

   An incorrect configuration was applied to an internal infrastructure cluster in FRA1 at 12:21 UTC during a maintenance operation.

   Root cause

   Configuration change

   Component

   etcdKubernetes API server

   Contributing factor

   Automation amplificationNo safeguard on destructive changeExcessive blast radius

   Detection

   Engineers were investigating errors with Kubernetes clusters in FRA1 as of 12:18 UTC and identified the incorrect configuration as the cause at 12:36.

   Remediation

   • restored each affected cluster's etcd from its latest twice-daily backup
   • restored the stateless control plane components after etcd
   • patched the recovery mechanism after unexpected problems during recovery
   • found and fixed an additional small bug during recovery
   • contacted affected customers directly with further instructions, since some might need to reconfigure Kubernetes resources

   Action items

   • Prevent automatic deletion of infrastructure cluster resources under any circumstances in the production environment

   Lessons

   When managed control planes run as resources in another cluster, one configuration mistake in that cluster can delete hundreds of control planes at once through ordinary automation. The etcd backups limited the damage, but their twice-daily schedule set the worst case at 12 hours of lost control plane state, and the recovery tooling itself needed patching during the incident.

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