Build from the environment
Choose a scenario that intersects actual services, vendors, identity paths, data, recovery processes, and decision authorities. A ransomware exercise becomes more valuable when it affects the file platform, identity provider, backup administration, a critical business application, and a managed service with contractual notification obligations.
Avoid creating an exotic attack solely to impress participants. The exercise should be technically believable enough to support decisions, while the main purpose is to reveal organizational assumptions and dependencies.