Problem solved - no clue what caused the issues, but here’s what we did to get it up and running again.
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VSphere Restore to backup from Thursday, last week (when GUI was still online)
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ipv6 still disabled for the system
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edited zammad.conf and commented out the following lines:
listen [::]:80
listen [::]:443 ssl http2;
Restarting nginx.service - succesful
Zammad GUI still says bad gateway, website not reachable
Checked running services and noticed that zammad-web-1.service failed to start.
Restarting the service also failed.
Checking the status of zammad-web-1.service:
Error pointing to service.pid file
Deleted that file and restarted the service - successful
Restarting nginx.service - successful
Website reachable
We then restarted the whole system and everything seems working again.
As the last server update was done quite a while back we have no clue what caused that issue. System hasn’t been rebooted since.