diff --git a/src/panels/lovelace/common/confirm-action.ts b/src/panels/lovelace/common/confirm-action.ts
new file mode 100644
index 0000000000..2b783cb3f3
--- /dev/null
+++ b/src/panels/lovelace/common/confirm-action.ts
@@ -0,0 +1,25 @@
+import type { ConfirmationRestrictionConfig } from "../../../data/lovelace/config/action";
+import { showConfirmationDialog } from "../../../dialogs/generic/show-dialog-box";
+import { HomeAssistant } from "../../../types";
+
+export const confirmAction = async (
+  node: HTMLElement,
+  hass: HomeAssistant,
+  config: ConfirmationRestrictionConfig,
+  action: string
+): Promise<boolean> => {
+  if (
+    config.exemptions &&
+    config.exemptions.some((e) => e.user === hass!.user?.id)
+  ) {
+    return true;
+  }
+
+  return showConfirmationDialog(node, {
+    text:
+      config.text ||
+      hass.localize("ui.panel.lovelace.cards.actions.action_confirmation", {
+        action,
+      }),
+  });
+};
diff --git a/src/panels/lovelace/editor/structs/action-struct.ts b/src/panels/lovelace/editor/structs/action-struct.ts
index d1f8d90c48..ed918e6d1f 100644
--- a/src/panels/lovelace/editor/structs/action-struct.ts
+++ b/src/panels/lovelace/editor/structs/action-struct.ts
@@ -16,7 +16,7 @@ const actionConfigStructUser = object({
   user: string(),
 });
 
-const actionConfigStructConfirmation = union([
+export const actionConfigStructConfirmation = union([
   boolean(),
   object({
     text: optional(string()),
diff --git a/src/panels/lovelace/editor/structs/entities-struct.ts b/src/panels/lovelace/editor/structs/entities-struct.ts
index 837f621b19..870e097b85 100644
--- a/src/panels/lovelace/editor/structs/entities-struct.ts
+++ b/src/panels/lovelace/editor/structs/entities-struct.ts
@@ -1,6 +1,9 @@
 import { union, object, string, optional, boolean, enums } from "superstruct";
 import { TIMESTAMP_RENDERING_FORMATS } from "../../components/types";
-import { actionConfigStruct } from "./action-struct";
+import {
+  actionConfigStruct,
+  actionConfigStructConfirmation,
+} from "./action-struct";
 
 export const entitiesConfigStruct = union([
   object({
@@ -14,6 +17,7 @@ export const entitiesConfigStruct = union([
     tap_action: optional(actionConfigStruct),
     hold_action: optional(actionConfigStruct),
     double_tap_action: optional(actionConfigStruct),
+    confirmation: optional(actionConfigStructConfirmation),
   }),
   string(),
 ]);
diff --git a/src/panels/lovelace/entity-rows/hui-button-entity-row.ts b/src/panels/lovelace/entity-rows/hui-button-entity-row.ts
index 1b9d5cf583..c649b2664b 100644
--- a/src/panels/lovelace/entity-rows/hui-button-entity-row.ts
+++ b/src/panels/lovelace/entity-rows/hui-button-entity-row.ts
@@ -14,6 +14,7 @@ import { hasConfigOrEntityChanged } from "../common/has-changed";
 import "../components/hui-generic-entity-row";
 import { createEntityNotFoundWarning } from "../components/hui-warning";
 import { ActionRowConfig, LovelaceRow } from "./types";
+import { confirmAction } from "../common/confirm-action";
 
 @customElement("hui-button-entity-row")
 class HuiButtonEntityRow extends LitElement implements LovelaceRow {
@@ -69,11 +70,21 @@ class HuiButtonEntityRow extends LitElement implements LovelaceRow {
     `;
   }
 
-  private _pressButton(ev): void {
+  private async _pressButton(ev): Promise<void> {
     ev.stopPropagation();
-    this.hass.callService("button", "press", {
-      entity_id: this._config!.entity,
-    });
+    if (
+      !this._config?.confirmation ||
+      (await confirmAction(
+        this,
+        this.hass,
+        this._config.confirmation,
+        this.hass.localize("ui.card.button.press")
+      ))
+    ) {
+      this.hass.callService("button", "press", {
+        entity_id: this._config!.entity,
+      });
+    }
   }
 }
 
diff --git a/src/panels/lovelace/entity-rows/hui-input-button-entity-row.ts b/src/panels/lovelace/entity-rows/hui-input-button-entity-row.ts
index 97b2a08dba..84697b89e5 100644
--- a/src/panels/lovelace/entity-rows/hui-input-button-entity-row.ts
+++ b/src/panels/lovelace/entity-rows/hui-input-button-entity-row.ts
@@ -14,6 +14,7 @@ import { hasConfigOrEntityChanged } from "../common/has-changed";
 import "../components/hui-generic-entity-row";
 import { createEntityNotFoundWarning } from "../components/hui-warning";
 import { ActionRowConfig, LovelaceRow } from "./types";
+import { confirmAction } from "../common/confirm-action";
 
 @customElement("hui-input-button-entity-row")
 class HuiInputButtonEntityRow extends LitElement implements LovelaceRow {
@@ -69,11 +70,21 @@ class HuiInputButtonEntityRow extends LitElement implements LovelaceRow {
     `;
   }
 
-  private _pressButton(ev): void {
+  private async _pressButton(ev): Promise<void> {
     ev.stopPropagation();
-    this.hass.callService("input_button", "press", {
-      entity_id: this._config!.entity,
-    });
+    if (
+      !this._config?.confirmation ||
+      (await confirmAction(
+        this,
+        this.hass,
+        this._config.confirmation,
+        this.hass.localize("ui.card.button.press")
+      ))
+    ) {
+      this.hass.callService("input_button", "press", {
+        entity_id: this._config!.entity,
+      });
+    }
   }
 }
 
diff --git a/src/panels/lovelace/entity-rows/hui-lock-entity-row.ts b/src/panels/lovelace/entity-rows/hui-lock-entity-row.ts
index 128a80808a..454225cd6e 100644
--- a/src/panels/lovelace/entity-rows/hui-lock-entity-row.ts
+++ b/src/panels/lovelace/entity-rows/hui-lock-entity-row.ts
@@ -13,16 +13,17 @@ import { HomeAssistant } from "../../../types";
 import { hasConfigOrEntityChanged } from "../common/has-changed";
 import "../components/hui-generic-entity-row";
 import { createEntityNotFoundWarning } from "../components/hui-warning";
-import { EntityConfig, LovelaceRow } from "./types";
+import { ConfirmableRowConfig, LovelaceRow } from "./types";
 import { callProtectedLockService } from "../../../data/lock";
+import { confirmAction } from "../common/confirm-action";
 
 @customElement("hui-lock-entity-row")
 class HuiLockEntityRow extends LitElement implements LovelaceRow {
   @property({ attribute: false }) public hass?: HomeAssistant;
 
-  @state() private _config?: EntityConfig;
+  @state() private _config?: ConfirmableRowConfig;
 
-  public setConfig(config: EntityConfig): void {
+  public setConfig(config: ConfirmableRowConfig): void {
     if (!config) {
       throw new Error("Invalid configuration");
     }
@@ -73,15 +74,21 @@ class HuiLockEntityRow extends LitElement implements LovelaceRow {
     `;
   }
 
-  private _callService(ev): void {
+  private async _callService(ev): Promise<void> {
     ev.stopPropagation();
     const stateObj = this.hass!.states[this._config!.entity];
-    callProtectedLockService(
-      this,
-      this.hass!,
-      stateObj,
-      stateObj.state === "locked" ? "unlock" : "lock"
-    );
+    const action = stateObj.state === "locked" ? "unlock" : "lock";
+    if (
+      !this._config?.confirmation ||
+      (await confirmAction(
+        this,
+        this.hass!,
+        this._config.confirmation,
+        this.hass!.localize(`ui.card.lock.${action}`)
+      ))
+    ) {
+      callProtectedLockService(this, this.hass!, stateObj, action);
+    }
   }
 }
 
diff --git a/src/panels/lovelace/entity-rows/hui-scene-entity-row.ts b/src/panels/lovelace/entity-rows/hui-scene-entity-row.ts
index 5d1646d9b2..27ddae5b70 100644
--- a/src/panels/lovelace/entity-rows/hui-scene-entity-row.ts
+++ b/src/panels/lovelace/entity-rows/hui-scene-entity-row.ts
@@ -16,6 +16,7 @@ import { hasConfigOrEntityChanged } from "../common/has-changed";
 import "../components/hui-generic-entity-row";
 import { createEntityNotFoundWarning } from "../components/hui-warning";
 import { ActionRowConfig, LovelaceRow } from "./types";
+import { confirmAction } from "../common/confirm-action";
 
 @customElement("hui-scene-entity-row")
 class HuiSceneEntityRow extends LitElement implements LovelaceRow {
@@ -73,9 +74,19 @@ class HuiSceneEntityRow extends LitElement implements LovelaceRow {
     `;
   }
 
-  private _callService(ev: Event): void {
+  private async _callService(ev: Event): Promise<void> {
     ev.stopPropagation();
-    activateScene(this.hass, this._config!.entity);
+    if (
+      !this._config?.confirmation ||
+      (await confirmAction(
+        this,
+        this.hass,
+        this._config.confirmation,
+        this._config.action_name || this.hass.localize("ui.card.scene.activate")
+      ))
+    ) {
+      activateScene(this.hass, this._config!.entity);
+    }
   }
 }
 
diff --git a/src/panels/lovelace/entity-rows/hui-script-entity-row.ts b/src/panels/lovelace/entity-rows/hui-script-entity-row.ts
index 87602c939f..e884f40507 100644
--- a/src/panels/lovelace/entity-rows/hui-script-entity-row.ts
+++ b/src/panels/lovelace/entity-rows/hui-script-entity-row.ts
@@ -16,6 +16,7 @@ import "../components/hui-generic-entity-row";
 import { createEntityNotFoundWarning } from "../components/hui-warning";
 import { ActionRowConfig, LovelaceRow } from "./types";
 import { showMoreInfoDialog } from "../../../dialogs/more-info/show-ha-more-info-dialog";
+import { confirmAction } from "../common/confirm-action";
 
 @customElement("hui-script-entity-row")
 class HuiScriptEntityRow extends LitElement implements LovelaceRow {
@@ -91,12 +92,20 @@ class HuiScriptEntityRow extends LitElement implements LovelaceRow {
     this._callService("turn_off");
   }
 
-  private _runScript(ev): void {
+  private async _runScript(ev): Promise<void> {
     ev.stopPropagation();
 
     if (hasScriptFields(this.hass!, this._config!.entity)) {
       showMoreInfoDialog(this, { entityId: this._config!.entity });
-    } else {
+    } else if (
+      !this._config?.confirmation ||
+      (await confirmAction(
+        this,
+        this.hass!,
+        this._config.confirmation,
+        this._config.action_name || this.hass!.localize("ui.card.script.run")
+      ))
+    ) {
       this._callService("turn_on");
     }
   }
diff --git a/src/panels/lovelace/entity-rows/types.ts b/src/panels/lovelace/entity-rows/types.ts
index d5c2053418..b8dd9c8d4c 100644
--- a/src/panels/lovelace/entity-rows/types.ts
+++ b/src/panels/lovelace/entity-rows/types.ts
@@ -1,4 +1,7 @@
-import type { ActionConfig } from "../../../data/lovelace/config/action";
+import type {
+  ActionConfig,
+  ConfirmationRestrictionConfig,
+} from "../../../data/lovelace/config/action";
 import type { HomeAssistant } from "../../../types";
 import type { LegacyStateFilter } from "../common/evaluate-filter";
 import type { Condition } from "../common/validate-condition";
@@ -11,7 +14,12 @@ export interface EntityConfig {
   icon?: string;
   image?: string;
 }
-export interface ActionRowConfig extends EntityConfig {
+
+export interface ConfirmableRowConfig extends EntityConfig {
+  confirmation?: ConfirmationRestrictionConfig;
+}
+
+export interface ActionRowConfig extends ConfirmableRowConfig {
   action_name?: string;
 }
 export interface EntityFilterEntityConfig extends EntityConfig {