As ransomware attacks grow in frequency and complexity, accurate attribution is crucial. Victim organizations often feel compelled to pay ransom, but must first attribute the attack and conduct sanction screening to ensure the threat actor receiving the payment is not a sanctioned entity, avoiding severe legal and financial risks. This cyber threat actor attribution process typically relies on Indicators of Compromise (IoCs) matching known threat profiles. However, the emergence of the Ransomware-as-a-Service (RaaS) ecosystem and rebranding behavior complicate attribution for sanction screening. Our mixed-methods study, combining interviews with 20 experts with an analysis of ransomware incident reports, reveals significant challenges and limitations in the current attribution process. High-level IoCs, widely regarded as more reliable, lack the necessary specificity for accurate attribution, leading to potential risks of misattribution. Practitioners rely on lower-level IoCs, which provide clearer links to threat actors but are highly volatile, further complicating sanction enforcement. These challenges highlight the need for urgent improvements in the attribution and sanction processes. To mitigate these risks, we offer recommendations aimed at enhancing data-sharing practices, improving attributions frameworks, and refining the sanction violation policy to better support sanction screening efforts. While we do not recommend paying ransomware actors, we acknowledge that some organizations may face pressures to do so in certain situations. In such cases, it is vital to ensure legal compliance, particularly regarding sanctioned entities. This work aims to help victims of ransomware shield themselves from transgressing against sanctions.