diff --git a/packages/react/src/sds/ai/F0HILActionConfirmation/F0HILActionConfirmation.tsx b/packages/react/src/sds/ai/F0HILActionConfirmation/F0HILActionConfirmation.tsx
index c111a8c8d0..c004efe965 100644
--- a/packages/react/src/sds/ai/F0HILActionConfirmation/F0HILActionConfirmation.tsx
+++ b/packages/react/src/sds/ai/F0HILActionConfirmation/F0HILActionConfirmation.tsx
@@ -1,35 +1,31 @@
-import { F0Button } from "@/components/F0Button"
-import Check from "@/icons/app/Check"
+import { F0CardRow } from "@/components/F0Card"
 
 import { F0HILActionConfirmationProps } from "./types"
 
 export const F0HILActionConfirmation = ({
   text,
+  description,
+  avatar,
   confirmationText,
   onConfirm,
   cancelText,
   onCancel,
+  stackAt = "sm",
 }: F0HILActionConfirmationProps) => {
   return (
-    <div className="flex flex-col gap-2">
-      {text && <p>{text}</p>}
-      <div className="flex gap-2">
-        <F0Button
-          type="button"
-          variant="default"
-          size="md"
-          icon={Check}
-          onClick={onConfirm}
-          label={confirmationText}
-        />
-        <F0Button
-          type="button"
-          variant="outline"
-          size="md"
-          onClick={onCancel}
-          label={cancelText}
-        />
-      </div>
-    </div>
+    <F0CardRow
+      title={text}
+      description={description}
+      avatar={avatar}
+      stackAt={stackAt}
+      confirmAction={{
+        label: confirmationText,
+        onClick: onConfirm,
+      }}
+      rejectAction={{
+        label: cancelText,
+        onClick: onCancel,
+      }}
+    />
   )
 }
diff --git a/packages/react/src/sds/ai/F0HILActionConfirmation/__stories__/F0HILActionConfirmation.stories.tsx b/packages/react/src/sds/ai/F0HILActionConfirmation/__stories__/F0HILActionConfirmation.stories.tsx
index 9b1ce2dc65..0dd32b83fa 100644
--- a/packages/react/src/sds/ai/F0HILActionConfirmation/__stories__/F0HILActionConfirmation.stories.tsx
+++ b/packages/react/src/sds/ai/F0HILActionConfirmation/__stories__/F0HILActionConfirmation.stories.tsx
@@ -1,15 +1,31 @@
 import type { Meta, StoryObj } from "@storybook/react-vite"
 
+import image from "@storybook-static/avatars/person04.jpg"
+
 import { F0HILActionConfirmation } from ".."
 
 const meta = {
   title: "AI/F0HILActionConfirmation",
   component: F0HILActionConfirmation,
   parameters: {
-    layout: "centered",
+    layout: "padded",
+    docs: {
+      description: {
+        component:
+          "An inline human-in-the-loop approve/reject row built on `F0CardRow`'s confirm/reject variant: the prompt sits on the left as the row title (with an optional avatar and description) and icon-only ✓ (confirm) / ✗ (reject) buttons pin to the trailing edge.",
+      },
+    },
   },
   tags: ["autodocs"],
+  decorators: [
+    (Story) => (
+      <div className="w-full max-w-[480px]">
+        <Story />
+      </div>
+    ),
+  ],
   args: {
+    text: "Send the follow-up email to the candidate?",
     confirmationText: "Confirm",
     onConfirm: () => {},
     cancelText: "Cancel",
@@ -18,23 +34,38 @@ const meta = {
   argTypes: {
     text: {
       control: "text",
-      description: "Optional descriptive text shown above the action buttons",
+      description: "The prompt shown as the row title.",
+    },
+    description: {
+      control: "text",
+      description: "Optional secondary line shown beneath the title.",
+    },
+    avatar: {
+      control: "object",
+      description: "Optional avatar rendered on the left of the row.",
+    },
+    stackAt: {
+      control: "select",
+      options: ["sm", "md", "lg", "never"],
+      description:
+        "Container width at which the ✓/✗ actions drop onto their own line.",
+      table: { defaultValue: { summary: "sm" } },
     },
     confirmationText: {
       control: "text",
-      description: "Text displayed on the confirmation button",
+      description: "Accessible label and tooltip for the confirm (✓) button.",
     },
     onConfirm: {
       action: "confirmed",
-      description: "Callback fired when the confirmation button is clicked",
+      description: "Callback fired when the confirm button is clicked",
     },
     cancelText: {
       control: "text",
-      description: "Text displayed on the cancel button",
+      description: "Accessible label and tooltip for the reject (✗) button.",
     },
     onCancel: {
       action: "cancelled",
-      description: "Callback fired when the cancel button is clicked",
+      description: "Callback fired when the reject button is clicked",
     },
   },
 } satisfies Meta<typeof F0HILActionConfirmation>
@@ -44,15 +75,32 @@ type Story = StoryObj<typeof meta>
 
 export const Default: Story = {
   args: {
+    text: "Send the follow-up email to the candidate?",
     confirmationText: "Confirm",
     cancelText: "Cancel",
   },
 }
 
-export const WithDescriptiveText: Story = {
+export const WithDescription: Story = {
   args: {
-    text: "Are you sure you want to proceed with this action?",
-    confirmationText: "Yes, proceed",
-    cancelText: "No, cancel",
+    text: "Approve 3 days off",
+    description: "Requested by Jane Cooper · Jun 10–12",
+    confirmationText: "Approve",
+    cancelText: "Reject",
+  },
+}
+
+export const WithAvatar: Story = {
+  args: {
+    avatar: {
+      type: "person",
+      firstName: "Jane",
+      lastName: "Cooper",
+      src: image,
+    },
+    text: "Jane Cooper",
+    description: "Requested 3 days off",
+    confirmationText: "Approve",
+    cancelText: "Reject",
   },
 }
diff --git a/packages/react/src/sds/ai/F0HILActionConfirmation/types.ts b/packages/react/src/sds/ai/F0HILActionConfirmation/types.ts
index 5250e98c5b..95199bd681 100644
--- a/packages/react/src/sds/ai/F0HILActionConfirmation/types.ts
+++ b/packages/react/src/sds/ai/F0HILActionConfirmation/types.ts
@@ -1,25 +1,48 @@
+import type { F0CardRowProps } from "@/components/F0Card"
+
 /**
- * Props for the F0HILActionConfirmation component
+ * Props for the F0HILActionConfirmation component.
+ *
+ * Renders an inline approve/reject row built on `F0CardRow`'s confirm/reject
+ * variant: the prompt as the row title, with icon-only ✓ (confirm) and ✗
+ * (reject) buttons at the trailing edge.
  */
 export type F0HILActionConfirmationProps = {
   /**
-   * Optional descriptive text shown above the action buttons
+   * The prompt shown as the row title (e.g. the action awaiting confirmation).
+   * Required — a confirmation without a prompt has no meaning.
    */
-  text?: string
+  text: string
   /**
-   * Text displayed on the confirmation button
+   * Optional secondary line shown beneath the title (single line, truncated).
+   */
+  description?: F0CardRowProps["description"]
+  /**
+   * Optional avatar rendered on the left of the row. Accepts any avatar type in
+   * the system (person, company, team, file, icon, emoji, …).
+   */
+  avatar?: F0CardRowProps["avatar"]
+  /**
+   * Container width at which the ✓/✗ actions drop onto their own line instead of
+   * staying inline. Prevents the buttons from overlapping the prompt in narrow
+   * containers. Set to `"never"` to keep them inline at every width.
+   * @default "sm"
+   */
+  stackAt?: F0CardRowProps["stackAt"]
+  /**
+   * Accessible label and tooltip for the confirm (✓) button.
    */
   confirmationText: string
   /**
-   * Callback fired when the confirmation button is clicked
+   * Callback fired when the confirm button is clicked.
    */
   onConfirm: () => void
   /**
-   * Text displayed on the cancel button
+   * Accessible label and tooltip for the reject (✗) button.
    */
   cancelText: string
   /**
-   * Callback fired when the cancel button is clicked
+   * Callback fired when the reject button is clicked.
    */
   onCancel: () => void
 }