We lay out the ransomware landscape in this State of the Internet (SOTI) report by exploring some of the most effective attack techniques and tools that ransomware groups are utilizing to achieve initial access through exfiltration. We also provide an extensive list of safeguarding techniques and recommendations. It is crucial that both industries and individuals protect themselves from the new wave of ransomware attacks, and this report will help provide insights for better defense and risk management of this growing concern.