Therac-25 Radiation Machine Kills Six Patients Due to Race Condition

ACM SIGSOFT
Therac-25 Radiation Machine Kills Six Patients Due to Race Condition
Medical linear accelerator in a clinical treatment room, similar to the Therac-25 radiation therapy device.Image: Public domain (US Government) via Wikimedia Commons · Public domain

What happened

The Therac-25 radiation therapy machine killed at least six patients and seriously injured others between 1985 and 1987. A software race condition removed hardware safety interlocks that earlier models had relied on, allowing the machine to deliver lethal radiation doses.[1]

The Therac-25 radiation therapy machine — a race condition in its software caused fatal overdoses in six patients between 1985 and 1987.Image: Bad.Technology archive

What went wrong

Developers removed physical safety interlocks when they added software checks, then introduced a race condition that allowed high-powered mode to activate without the beam collimator in place. The bug only triggered under specific fast-typing sequences, making it nearly impossible to reproduce in testing.[1]

Lesson learned

Safety-critical systems must never rely solely on software interlocks without hardware redundancy. Race conditions in embedded systems can be lethal — concurrent code paths must be validated exhaustively, not just under normal timing conditions.

Est. value burned ~$116M SVL: 6 fatalities × $13.2M + 3 serious injuries × $1.32M + settlements (inflation-adjusted to 2026)

Sources

  1. [1]

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