I accept that for every prompt of building I'm going to have 1-5 prompts of refinement.

Once the LLM tells me "Okay, it's done, everything works" I always as it to do a thorough review, I tell it to split up the work among sub-agents with each one taking on a specific responsibility (look for code smells, look for bad architecture, review the data access model, DUPLICATE CODE, testability and unit testing, etc.)

After a certain number of revisions and reviews you'll come to accept the shortcomings it comes back. Usually there will be specific design decisions you made that the LLM keeps bringing up, once the review only brings that up and maybe some other minor issues it's time to move on.

I don't overly rely on markdown files and directions. I don't rely on tooling around it either. I just don't trust the LLM when it says "all done", tests pass, and deployment works. I make it to multiple reviews and iterations even when it thinks it's done.