TL;DR: users in /etc/sudoers can run code as root with sudo.
I can think of a handful of corporate machines (e.g. web servers) I've had pubkey access on where sudo allowed the real admin to gain root from the same account via sudo.
You'd also have to do this when the NTP daemon first starts up, as:
-g Normally, ntpd exits with a message to the system log if the offset exceeds the panic
threshold, which is 1000 s by default. This option allows the time to be set to any value
without restriction; however, this can happen only once. If the threshold is exceeded after
that, ntpd will exit with a message to the system log. This option can be used with the -q
and -x options. See the tinker command for other options.