I generate keywords using the 5 obvious resources plus others
I have hundreds of negative matches
I Broad Match, Phrase Match, Exact Match and Negative Match
I use {Variables: A Must}
I separate AdGroups for every keyword family
I optimally punctuate descriptions
I base bid management decisions on tracked results
I run A/B tests all the time
I track 4 types of conversions for free
I design landing pages with Adwords in mind and test them
I resuscitate profitable but Disabled keywords
I optimize Display URLs even if my programmer doesn't want to
I opt into Content Match where profitable
I know my LTV per AdGroup, set ROAS targets, and I hit 'em
I sleep soundly knowing absolutely no other advertiser in my category is matching my Adwords success