Millimeter-wave and multiple-input-multiple-output (MIMO) technologies combine broad bandwidth with spatial diversity to offer a greater data rate. This paper investigates a flexible millimeter-wave sigma-delta-over-fiber based transmitter solution with digital beamforming MISO and MIMO functionality. Those functions are controlled by a central unit connecting a remote radio head with a standardized QSFP28 fiber link. The central unit generates binary encoded intermediate frequency signals using bandpass sigma-delta modulation. The QSFP28 based fiber link transmits the intermediate frequency bitstreams to the remote radio head. The remote radio head consists of a QSFP28 module, 90°hybrids, and upconverters. The remote radio head feeds four parallel, independent, coherent, and central-unit controlled 28 GHz signals to a linear array transmitting antenna. The transmitter performance is experimentally verified, demonstrating up to 800 Msym/s at an EVM/NMSE of 6.7%/-23.5 dB when tested with a 64 quadrature amplitude modulation (64-QAM) modulation scheme. Digital overthe-air beamforming MISO functionality is demonstrated up to 700 Msym/s across 1 m wireless distance. MIMO communication capabilities is demonstrated by over-the-air transmission of two independent 500 Msym/s to two spatially separated receivers. The results show that the proposed link can be used for realization of scalable, low-cost and flexible transmitter solution for emerging distributed antenna systems.