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Create a custom field for "Lead Status" > Map it to the "Status" field in Salesforce > Create an automation rule to detect the "Nurture" value > Automation rule sends an autoresponder email

Create a custom field for "Lead Status" > Map it to the "Status" field in Salesforce > Create a dynamic list to detect the "Nurture" value > Add as recipient list on engagement program to send emails 

Create a report in Salesforce based on lead status of "Nurture" > Export and import into Marketing Cloud Account Engagement > Create a list from import > Add as recipient list on engagement program

Create a CRM Visible list in Marketing Cloud Account Engagement > Have sales also add these "Nurture" leads to that list in Salesforce > Create an automation rule to send email based on list membership 

You can create and sync a custom object from anything that is linked to a contact, lead, or account in your CRM

You can create and sync a custom object from anything that is linked lead and contact, but can't be linked to account due to high risk of errors

You can create and sync a custom object from anything that is linked to a contact, lead and account in your CRM at the same time