diff --git a/apps/hook/commands/plannotator-review.md b/apps/hook/commands/plannotator-review.md
index a8d8dd692..433fa1328 100644
--- a/apps/hook/commands/plannotator-review.md
+++ b/apps/hook/commands/plannotator-review.md
@@ -9,4 +9,4 @@ allowed-tools: Bash(plannotator:*)
 
 ## Your task
 
-Address the code review feedback above. The user has reviewed your changes in the Plannotator UI and provided specific annotations and comments.
+If the review above contains feedback or annotations, address them. If no changes were requested, acknowledge and continue.
diff --git a/apps/hook/server/index.ts b/apps/hook/server/index.ts
index 98b87db09..0fb5c81a8 100644
--- a/apps/hook/server/index.ts
+++ b/apps/hook/server/index.ts
@@ -183,7 +183,12 @@ if (args[0] === "sessions") {
   server.stop();
 
   // Output feedback (captured by slash command)
-  console.log(result.feedback || "No feedback provided.");
+  if (result.approved) {
+    console.log("Code review completed — no changes requested.");
+  } else {
+    console.log(result.feedback);
+    console.log("\nThe reviewer has identified issues above. You must address all of them.");
+  }
   process.exit(0);
 
 } else if (args[0] === "annotate") {
diff --git a/apps/opencode-plugin/index.ts b/apps/opencode-plugin/index.ts
index 949caadf1..1a43854b7 100644
--- a/apps/opencode-plugin/index.ts
+++ b/apps/opencode-plugin/index.ts
@@ -221,7 +221,11 @@ Do NOT proceed with implementation until your plan is approved.
             const shouldSwitchAgent = result.agentSwitch && result.agentSwitch !== 'disabled';
             const targetAgent = result.agentSwitch || 'build';
 
-            // Send feedback to agent - it will automatically respond and address it
+            const message = result.approved
+              ? `# Code Review\n\nCode review completed — no changes requested.`
+              : `# Code Review Feedback\n\n${result.feedback}\n\nPlease address this feedback.`;
+
+            // Send feedback to agent
             try {
               await ctx.client.session.prompt({
                 path: { id: sessionId },
@@ -230,7 +234,7 @@ Do NOT proceed with implementation until your plan is approved.
                   parts: [
                     {
                       type: "text",
-                      text: `# Code Review Feedback\n\n${result.feedback}\n\nPlease address this feedback.`,
+                      text: message,
                     },
                   ],
                 },
diff --git a/apps/pi-extension/index.ts b/apps/pi-extension/index.ts
index 1c8e724bd..ce46de777 100644
--- a/apps/pi-extension/index.ts
+++ b/apps/pi-extension/index.ts
@@ -255,7 +255,11 @@ export default function plannotator(pi: ExtensionAPI): void {
       server.stop();
 
       if (result.feedback) {
-        pi.sendUserMessage(`# Code Review Feedback\n\n${result.feedback}\n\nPlease address this feedback.`);
+        if (result.approved) {
+          pi.sendUserMessage(`# Code Review\n\nCode review completed — no changes requested.`);
+        } else {
+          pi.sendUserMessage(`# Code Review Feedback\n\n${result.feedback}\n\nPlease address this feedback.`);
+        }
       } else {
         ctx.ui.notify("Code review closed (no feedback).", "info");
       }
diff --git a/apps/pi-extension/server.ts b/apps/pi-extension/server.ts
index 75795a2b1..bf8ff3d69 100644
--- a/apps/pi-extension/server.ts
+++ b/apps/pi-extension/server.ts
@@ -349,7 +349,7 @@ export interface GitContext {
 export interface ReviewServerResult {
   port: number;
   url: string;
-  waitForDecision: () => Promise<{ feedback: string }>;
+  waitForDecision: () => Promise<{ approved: boolean; feedback: string }>;
   stop: () => void;
 }
 
@@ -415,8 +415,8 @@ export function startReviewServer(options: {
   let currentGitRef = options.gitRef;
   let currentDiffType: DiffType = options.diffType || "uncommitted";
 
-  let resolveDecision!: (result: { feedback: string }) => void;
-  const decisionPromise = new Promise<{ feedback: string }>((r) => {
+  let resolveDecision!: (result: { approved: boolean; feedback: string }) => void;
+  const decisionPromise = new Promise<{ approved: boolean; feedback: string }>((r) => {
     resolveDecision = r;
   });
 
@@ -446,7 +446,10 @@ export function startReviewServer(options: {
       json(res, { rawPatch: currentPatch, gitRef: currentGitRef, diffType: currentDiffType });
     } else if (url.pathname === "/api/feedback" && req.method === "POST") {
       const body = await parseBody(req);
-      resolveDecision({ feedback: (body.feedback as string) || "" });
+      resolveDecision({
+        approved: (body.approved as boolean) ?? false,
+        feedback: (body.feedback as string) || "",
+      });
       json(res, { ok: true });
     } else {
       html(res, options.htmlContent);
diff --git a/apps/review/server/index.ts b/apps/review/server/index.ts
index 2c786bcab..1c27b2b0d 100644
--- a/apps/review/server/index.ts
+++ b/apps/review/server/index.ts
@@ -88,6 +88,7 @@ server.stop();
 console.log(
   JSON.stringify({
     gitRef: displayRef,
+    approved: result.approved,
     feedback: result.feedback,
     annotations: result.annotations,
   }, null, 2)
diff --git a/bun.lock b/bun.lock
index 858d55ef8..8cadb9c43 100644
--- a/bun.lock
+++ b/bun.lock
@@ -50,7 +50,7 @@
     },
     "apps/opencode-plugin": {
       "name": "@plannotator/opencode",
-      "version": "0.11.4",
+      "version": "0.12.0",
       "dependencies": {
         "@opencode-ai/plugin": "^1.1.10",
       },
@@ -71,7 +71,7 @@
     },
     "apps/pi-extension": {
       "name": "@plannotator/pi-extension",
-      "version": "0.11.4",
+      "version": "0.12.0",
       "peerDependencies": {
         "@mariozechner/pi-coding-agent": ">=0.53.0",
       },
@@ -151,7 +151,7 @@
     },
     "packages/server": {
       "name": "@plannotator/server",
-      "version": "0.11.4",
+      "version": "0.12.0",
       "dependencies": {
         "@plannotator/shared": "workspace:*",
       },
diff --git a/packages/review-editor/App.tsx b/packages/review-editor/App.tsx
index ab7bad579..929c7e070 100644
--- a/packages/review-editor/App.tsx
+++ b/packages/review-editor/App.tsx
@@ -504,6 +504,7 @@ const ReviewApp: React.FC = () => {
         method: 'POST',
         headers: { 'Content-Type': 'application/json' },
         body: JSON.stringify({
+          approved: false,
           feedback: feedbackMarkdown,
           annotations,
           ...(effectiveAgent && { agentSwitch: effectiveAgent }),
@@ -530,7 +531,8 @@ const ReviewApp: React.FC = () => {
         method: 'POST',
         headers: { 'Content-Type': 'application/json' },
         body: JSON.stringify({
-          feedback: 'LGTM - no changes requested.',
+          approved: true,
+          feedback: 'LGTM - no changes requested.', // unused — integrations branch on `approved` flag
           annotations: [],
         }),
       });
diff --git a/packages/server/review.ts b/packages/server/review.ts
index bb16c9f91..7ed4e9e8a 100644
--- a/packages/server/review.ts
+++ b/packages/server/review.ts
@@ -56,8 +56,9 @@ export interface ReviewServerResult {
   url: string;
   /** Whether running in remote mode */
   isRemote: boolean;
-  /** Wait for user feedback submission */
+  /** Wait for user review decision */
   waitForDecision: () => Promise<{
+    approved: boolean;
     feedback: string;
     annotations: unknown[];
     agentSwitch?: string;
@@ -101,11 +102,13 @@ export async function startReviewServer(
 
   // Decision promise
   let resolveDecision: (result: {
+    approved: boolean;
     feedback: string;
     annotations: unknown[];
     agentSwitch?: string;
   }) => void;
   const decisionPromise = new Promise<{
+    approved: boolean;
     feedback: string;
     annotations: unknown[];
     agentSwitch?: string;
@@ -259,6 +262,7 @@ export async function startReviewServer(
           if (url.pathname === "/api/feedback" && req.method === "POST") {
             try {
               const body = (await req.json()) as {
+                approved?: boolean;
                 feedback: string;
                 annotations: unknown[];
                 agentSwitch?: string;
@@ -266,6 +270,7 @@ export async function startReviewServer(
 
               deleteDraft(draftKey);
               resolveDecision({
+                approved: body.approved ?? false,
                 feedback: body.feedback || "",
                 annotations: body.annotations || [],
                 agentSwitch: body.agentSwitch,