In this work, secrecy in communication systems is measured by the distortion incurred by the worst-case adversary. The transmitter and receiver share secret key, which they use to encrypt communication and cause distortion at an adversary. In our model, we assume that an adversary not only intercepts the communication between the transmitter and receiver, but also may have access to noisy observations of the system. For example, the adversary may have causal access to a signal that is correlated with the source sequence or with the output of the receiver. Our main contribution is the solution of the optimal tradeoff among communication rate, secret key rate, distortion at the adversary, and distortion at the legitimate receiver. We demonstrate that side information at the adversary plays a pivotal role, and provide a number of examples that motivate and give insight into our results.