Modification of Accessibility Features

'Adversaries may establish persistence and/or elevate privileges by executing malicious content triggered by accessibility features. Windows contains accessibility features that may be launched with a key combination before a user has logged in (ex: when the user is on the Windows logon screen). An adversary can modify the way these programs are launched to get a command prompt or backdoor without logging in to the system. Two common accessibility programs are C:\Windows\System32\sethc.exe, launched when the shift key is pressed five times and C:\Windows\System32\utilman.exe, launched when the Windows + U key combination is pressed. The sethc.exe program is often referred to as "sticky keys", and has been used by adversaries for unauthenticated access through a remote desktop login screen. [1] Ref: https://attack.mitre.org/techniques/T1546/008/'