Threat Actors may establish persistence by executing malicious content triggered by a file type association. When a file is opened, the default program used to open the file (also called the file association or handler) is checked. File association selections are stored in the Windows Registry and can be edited by users, administrators, or programs that have Registry access or by administrators using the built-in assoc utility. Applications can modify the file association for a given file extension to call an arbitrary program when a file with the given extension is opened.
This type of attack technique cannot be easily mitigated with preventive controls since it is based on the abuse of system features.