Port Monitors
Adversaries may use port monitors to run an adversary supplied DLL during system boot for persistence or privilege escalation. A port monitor can be set through the AddMonitor API call to set a DLL to be loaded at startup. This DLL can be located in C:\Windows\System32 and will be loaded and run by the print spooler service, spoolsv.exe, under SYSTEM level permissions on boot.
Alternatively, an arbitrary DLL can be loaded if permissions allow writing a fully-qualified pathname for that DLL to the Driver value of an existing or new arbitrarily named subkey of HKLM\SYSTEM\CurrentControlSet\Control\Print\Monitors. The Registry key contains entries for the following: Local Port Standard TCP/IP Port USB Monitor WSD Port.