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In the case of instances where the SAML SSO authentication is enabled (non-default), session data can be modified by a malicious actor, because a user login stored in the session was not verified. Malicious unauthenticated actor may exploit this issue to escalate privileges and gain admin access to Zabbix Frontend. To perform the attack, SAML authentication is required to be enabled and the actor has to know the username of Zabbix user (or use the guest account, which is disabled by default).
After the initial setup process, some steps of setup.php file are reachable not only by super-administrators, but by unauthenticated users as well. Malicious actor can pass step checks and potentially change the configuration of Zabbix Frontend.
A non-admin user account on the Zabbix frontend with the default User role, or with any other role that gives API access can exploit this vulnerability. An SQLi exists in the CUser class in the addRelatedObjects function, this function is being called from the CUser.get function which is available for every user who has API access.