It seems the issue here is that initramfs is not signed, which makes this attack possible.

If it is signed and an evil maid modifies the initramfs itself, it will break the secure boot process and the user will be notified that their system has been tampered with. This should indicate that the secure boot protection is working.

If initramfs is not signed and it drops to the debug shell, then the attacker can make any changes to your system without it affecting secure boot, since it has already passed the protection. At least that's my understanding when I read this.