\documentclass[12pt]{article}
\usepackage{amsmath}
\usepackage{graphicx}
\usepackage{hyperref}
\usepackage[utf8]{inputenc}
%\usepackage{minted}


\newcommand{\impact}[1] {
\vspace*{12pt}
\noindent Impact -- #1}

\newcounter{solution}
\setcounter{solution}{1}
\newcommand{\Solution}[1] {
\newline Solution \thesolution{} -- #1
\refstepcounter{solution}}

\newcommand{\desc}[1]{\ignorespaces}

\begin{document}

\section{Something}
\subsubsection{Test XX}
Lorem Ipsum...

\impact{High}
\Solution{Test this.}
\desc{This is the description}

\subsubsection{Test YY}
Lorem Ipsum...

\impact{Low}
\Solution{Do not do this.}
\desc{Description 2}

\subsubsection{Table}
\begin{table}[h]
\begin{tabular}{|l|l|l|l|}
\hline
& Description                                                                            & Impact & Solution                                                                \\ \hline
1. & \begin{tabular}[c]{@{}l@{}}1.0.1 Test XX\\ \\ This is the description\end{tabular} & High     & \begin{tabular}[c]{@{}l@{}}Solution 1\\ \\ Test this.\end{tabular}      \\ \hline
2. & \begin{tabular}[c]{@{}l@{}}1.0.2 Test YY\\ \\ Description 2\end{tabular}           & Low      & \begin{tabular}[c]{@{}l@{}}Solution 2\\ \\ Do not do this.\end{tabular} \\ \hline
\end{tabular}
\end{table}

\end{document}