Call a number through your Twilio connection and read the alert aloud, twice. A ringing phone gets through where a text does not, which makes this the last step in an escalation rather than the first.
A phone call is the most intrusive thing Hesklo can do. Used sparingly it is invaluable, and used carelessly it is the reason people stop trusting alerts.
Chain it after a channel post and an email. If the quieter steps do their job, the call never happens.
Branch on "not acknowledged in N minutes" and put the call on the true path, so it only rings when nobody has claimed the incident.
Give the outage time to resolve itself. A call about a service that came back two minutes later is a call that damages trust.
Because flows belong to individual monitors, you can reserve calls for the handful of services that genuinely justify them.
Combine with an email step following the schedule so the escalation reaches the person who is actually on duty.
The default, and the only sensible setting here. Firing on every check would call repeatedly through an outage.
Connect Twilio, put a call at the end of your escalation, and let everything quieter run first.