In newer of versions of Virtualbox, especially above 6.0 (eg. 6.1 like the example below), a lot of times the "Enable Nested VT-x/AMD-V".
If you are having this issue, you will see the option is grayed out. It doesn't mean that your computer does not support virtualization, although it is possible it is disabled in the BIOS. You can verify........
The example below converts youvm.img into a vdi.
The -O vdi specifies the new format will be vdi but you can use any other valid formats/vice versa.
qemu-img convert yourvm.img -O vdi yourvm.vdi
This is very handy for those who need to switch between virtualization technologies.........