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You can't cause a rash of serious short term problems that increase the load on your health care system? That would be pretty compelling from a terrorist perspective or for nation states trying to demoralize/reduce trust in the current government.

Sometimes attacks are probes and discoveries meant to determine or validate efficacy of a set of attack vectors including but not limited to human assets. Other uses are for distractions from other efforts. And yeah, sometimes they’re pranks. It’s not clear with the given facts what’s really going on.

Depends how long you can shut it down for. Even if only a few hours, an _unexpected_ shutdown of water across an entire city would certainly cause a panic with people descending on any stores open to buy water.