diff --git a/skills/ads/SKILL.md b/skills/ads/SKILL.md
index 7d9c4e6..06988f0 100644
--- a/skills/ads/SKILL.md
+++ b/skills/ads/SKILL.md
@@ -257,6 +257,97 @@ Before launching campaigns, ensure proper tracking and account setup.
 
 ---
 
+## Google RSA Output Spec (mandatory when generating RSAs)
+
+When the user requests Google Ads RSAs (Responsive Search Ads), output MUST comply with these platform limits and structural requirements. Do not output any RSA that violates them.
+
+### Hard limits per RSA (enforce before responding)
+
+- **Headlines:** exactly **15** per RSA, each **≤ 30 characters** (count characters, including spaces). Render as `1. ... (NN chars)` so the reader can verify.
+- **Descriptions:** exactly **4** per RSA, each **≤ 90 characters**.
+- **Paths:** up to 2 path fields, each **≤ 15 characters**.
+- **Final URL:** present, https.
+- **Pinning:** state any pinned positions explicitly. Default = unpinned unless user asks.
+- **Per-account guardrail:** Google enforces **3 RSAs max per ad group**. When the user asks for >3, group them by ad group.
+
+### Required sidecar artifacts (always include with RSA request)
+
+1. **Ad group structure**, labeled `Ad group structure:` — list each ad group with its theme, target keywords (match types), and which RSAs map to it.
+2. **Negative keyword list**, labeled `Negative keywords:` — minimum **8** entries, group-level vs campaign-level called out.
+3. **Sitelinks** (≥ 4), **Callouts** (≥ 4 ≤25 chars), **Structured snippets** if relevant.
+
+### Medical / CFM compliance (when product context indicates pt-BR medical practice)
+
+If `.agents/product-marketing.md` indicates a Brazilian medical practice (CFM-regulated), the following terms are **forbidden** in headlines, descriptions, sitelinks, and callouts:
+
+- Superlatives: `#1`, `melhor`, `o melhor`, `melhor do brasil`, `top`, `referência`
+- Outcome promises: `garantido`, `garantia`, `cura`, `cura definitiva`, `100%`, `resultado garantido`, `livre da dor`
+- Comparative claims vs other doctors/clinics
+
+Use neutral framing: `atendimento`, `consulta`, `avaliação`, `segunda opinião`, `agende sua consulta`, `tire suas dúvidas`. Geo modifier (`Porto Alegre`, `POA`, `Zona Sul POA`) required where the prompt specifies a region.
+
+### Output ORDER (mandatory — emit in this order to avoid truncation)
+
+1. **Ad group structure** (short)
+2. **Negative keywords** (≥8, MANDATORY — emit BEFORE RSAs so it isn't dropped if output runs long)
+3. **Sitelinks** (≥4)
+4. **Callouts** (≥4)
+5. **RSA1, RSA2, RSA3** (largest section, last — safe to truncate gracefully)
+
+### Output template (mandatory shape)
+
+```
+Ad group structure:
+- AG1 [theme]: keywords (match types) → RSA1, RSA2
+- AG2 [theme]: ...
+
+Negative keywords:
+  Campaign-level:
+    - <kw>
+    - <kw>
+    (≥4 here)
+  Ad-group level:
+    - AG1: <kw>, <kw>
+    - AG2: <kw>, <kw>
+    (≥4 more here — TOTAL ≥8 entries)
+
+Sitelinks (≥4):
+  - <title (≤25)> | <desc1 (≤35)> | <desc2 (≤35)> | URL
+
+Callouts (≥4, each ≤25 chars):
+  - <callout>
+
+RSA1 — [ad group name]
+  Final URL: https://...
+  Path1: ...   Path2: ...
+  Headlines (15, each ≤30 chars):
+    1. <headline> (NN chars)
+    ...
+    15. <headline> (NN chars)
+  Descriptions (4, each ≤90 chars):
+    1. <description> (NN chars)
+    ...
+    4. <description> (NN chars)
+  Pinning: H1=none; H2=none; ...   (or explicit pins)
+
+RSA2 — ...
+RSA3 — ...
+```
+
+### Self-check before responding
+
+Before sending the output, run this checklist mentally:
+
+- [ ] Each RSA has exactly 15 headlines, exactly 4 descriptions.
+- [ ] Every headline is ≤30 chars; every description is ≤90 chars. Character counts printed.
+- [ ] Negative keyword list labeled and ≥8 entries.
+- [ ] Ad group structure labeled.
+- [ ] If medical (CFM): no forbidden superlative/outcome words; geo modifier present where required; language is pt-BR.
+
+If any check fails, rewrite before responding. Do not ship partial RSAs.
+
+---
+
 ## Common Mistakes to Avoid
 
 ### Strategy