Three levels, in Settings
Settings → How Render works → “What Render does on its own” sets how much Render asks first. Every account starts on Hands-off. Budget changes always wait for your OK.
Hands-off (recommended)Render acts, then shows you what it did. New ads go live as soon as they’re ready (your first campaign too, at the daily budget you set), and weak ads are paused. Everything is listed in Changes.
Ask me before new ads go liveEverything else runs on its own. Each new batch of ads, and your first campaign, waits for your OK in Needs you. Pausing weak ads still happens on its own.
Ask me before every changeEach one waits for your OK. New ads, pauses and every other change wait in Needs you.
TipAccounts already on “Suggest only” keep it: Render suggests, you decide each change.