Between 2019 and 2023, sixteen universities increased their research output by more than fifteen times the global average, alongside significant changes in authorship dynamics (e.g., decreased first authorship, increased numbers of hyperprolific authors, increased numbers of multiaffiliations, and increased numbers of authors per publication). Using bibliometric methods, this study detected patterns suggesting a reliance on unconventional authorship practices, such as gift, honorary, and sold authorship, to inflate publication metrics. This study underscores the need for reforms by universities, policymakers, funding agencies, ranking agencies, accreditation bodies, scholarly publishers, and researchers to maintain academic integrity and ensure the reliability of global ranking systems.