VBA decodes a command and Win32_Process moniker from worksheet cells and executes the command through WMI.
A VBA/UserForm hex or Base64 payload decodes to a ZIP containing executable/script content.
A large binary or script payload is split across a long run of Base64-encoded worksheet cells, often in a hidden sheet and often with a second XOR layer.
A VBA-bearing workbook cell decodes from Base64 to an HTTP(S) payload URL.
A VBA-bearing BIFF workbook cell decodes from Base64 to an HTTP(S) payload URL.