agent/Core/Controller/SendRequest.cpp in Phusion Passenger before 4.0.60 and 5.0.x before 5.0.22, when used in Apache integration mode or in standalone mode without a filtering proxy, allows remote attackers to spoof headers passed to applications by using an (underscore) character instead of a - (dash) character in an HTTP header, as demonstrated by an XUser header.
In agent/Core/SpawningKit/Spawner.h in Phusion Passenger 5.1.10 (fixed in Passenger Open Source 5.1.11 and Passenger Enterprise 5.1.10), if Passenger is running as root, it is possible to list the contents of arbitrary files on a system by symlinking a file named REVISION from the application root folder to a file of choice and querying passenger-status --show=xml.