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October, 2019:

How to implement an approval in Microsoft Flow on a custom list with content approval enabled

Yes, you read this title right. Please have a look and see an example Flow that implements the out of the box approval actions but on a custom list in SharePoint that has the content approval feature activated. The Get Item action is necessary to retrieve the ETag property that we assign on the set content approval actions at the end of the flow. hope this helps. Thanks

Here is a Flow with approval in a custom list with content approval enabled, click on enlarge