In theory, it mainly depends on the popularity of search terms, user location, and past searches as well as user engagement on your page, brand popularity and whatnot.
In reality, Google is giving this honor more and more to a couple of "big names" which are already well-established. Even a Reddit user can surpass articles with certified doctors, etc. https://www.blackhatworld.com/seo/lol-google.1579008
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