Hi David Campbell,
Thank you for reaching out to Microsoft Q&A forum. I completely understand how inconvenient it is when the Windows Hello setup screen doesn’t display the OK button and we will walk through every possible step to get this resolved.
Here are a few more recommended actions to try in this case:
Step 1: Run DISM and SFC repairs
These tools help repair potential system file corruption that may affect Windows Hello.
DISM /Online /Cleanup-Image /RestoreHealth
sfc /scannow
After running both commands, please restart your device and retry Windows Hello setup.
Step 2: Test in a Clean Boot environment
A Clean Boot helps determine whether a background program or third‑party service is interfering with Windows Hello. If the setup works in Clean Boot mode, a startup item is likely contributing to the issue.
- Press Win + R, type msconfig, press Enter.
- Go to the Services tab and check Hide all Microsoft services then click Disable all.
- Open Task Manager > Startup tab and disable all items.
- Restart your device and try setting up Windows Hello again.
*Disclaimer: A "clean boot" starts Windows with a minimal set of drivers and startup programs. It helps to determine whether a background service is interfering with your game or program and to isolate the cause of a problem. These steps of "clean boot" might look complicated at first glance. However, to avoid any trouble for you, please follow them in order and step-by-step so that it will help you get back on track.
Step 3: Create a new local user profile
If you’re still unable to complete setup, please create a fresh user profile and test Windows Hello there. This helps confirm whether the issue is related to your current account configuration.
- Go to Settings > Accounts > Other users.
- Click Add account then choose I don't have this person's sign-in information > Add a user without a Microsoft account.
- Enter a username and password > click Next.
- Sign in with the new account and check if the issue persists.
For further details, you may also review Microsoft’s official troubleshooting guide here: Troubleshoot problems with Windows Hello on Surface
Each of these steps targets a potential cause and together they provide a full approach to diagnosing and resolving the issue.
If you’d like help walking through any of these steps, I’m here to support you.
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