You could use them to:

1. Come up with an algorithm to define an algorithm.

2. Code expansion. Instead of typing out 1000 classes that are best represented as a template of a single class, you can define a macro then use it.

3. C++ at least uses them to provide generics.

4. They let you peel back the layers of abstraction to use the language itself as an API. Useful if you want to write static analysis to do analysis on code quality, security, linting, etc.

5. Anything you can imagine, it's metaprogramming.