/Library/StartupItems isn’t guaranteed to exist on the system by default, but does appear to exist by default on macOS Sierra. A startup item is a directory whose executable and configuration property list (plist), StartupParameters.plist, reside in the top-level directory.
An adversary can create the appropriate folders/files in the StartupItems directory to register their own persistence mechanism.(Citation: Methods of Mac Malware Persistence) Additionally, since StartupItems run during the bootup phase of macOS, they will run as the elevated root user.
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