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The Manual start and Workflow testing for SharePoint Online start events allows you to test Nintex Workflow Cloud workflows that use SharePoint online start events from within the designer.
An Item ID is entered to allow the workflow to run on a specific item on a SharePoint Online list.
You can also manually run a workflow on a specified item in SharePoint Online.
Please see the Nintex Help files for more information:
https://help.nintex.com/en-US/nwc/Content/Designer/Startevents/SharePointOnlineStartEvents.htm