There are a lot of cars out there where the head unit has connection to the CAN bus. Which means this malware vector could be used to directly cause crashes. E.g. https://news.ycombinator.com/item?id=19751872
[1]https://opengarages.org/handbook/ebook/ (chapter 9)
I believe the connection exists because the steering wheel buttons/iDrive talk to the original head unit over CAN.