What process drives the creation of nearly every element heavier than hydrogen and helium in the universe?

Answer

Stellar nucleosynthesis

Stellar nucleosynthesis, occurring within massive stars, is the engine driving the synthesis of elements heavier than the lightest ones (hydrogen and helium) through ongoing cosmic cycles of fusion.

What process drives the creation of nearly every element heavier than hydrogen and helium in the universe?
Elementastronomystarmassnucleosynthesis