What I do when I’m too lazy to format / reinstall Windows AND the system is seriously infected :
- offline disinfection (boot your system with an antivirus boot CD or usb drive)
- boot system and run another stand-alone disinfection tool (DrWeb CureIt generally works OK for me)
- install a good AV
Basically a 2-stage disinfection.
If there’s still some malicious crap after that, then :person_facepalming:
Also all my personal computers run Linux :smiling_imp: