you keep the usual BS to get hardware, plus now it's 10x more expensive and requires 5x the engineering!
Basically: some managers gets fed-up with weeks/months of delays for baremetal or VM access -> takes risks and gets cloud services -> successful projects in less time -> gets promoted -> more cloud in the org.
I don't argue there aren't special cases for using fancy cloud vendors, though. But classical datacentre rentals get you almost always there for less.
Personally I like being able to touch and hear the computers I use.
In a large enough org that experience doesn’t happen though - you have to go through and understand how the org’s infra-as-code repo works, where to make your change, and get approval for that.