The direct preparation of ketones from carboxylate anions is greatly limited by the required use of organolithium reagents or activated acyl sources that need to be independently prepared. Herein, a specific magnesium amide additive is used to activate and control the addition of more tolerant Grignard reagents to carboxylate anions. This strategy enables the modular synthesis of ketones from CO2 and the preparation of isotopically-labelled pharmaceutical building blocks in a single operation. Ketones (1) are one of the cornerstones of organic chemistry, being a fundamental class of products and essential synthetic intermediates. Aromatic ketones are particularly relevant drugs and fragrances, and they are key to the synthesis of heterocyclic cores in valuable products. 1 As a result, extensive research has been dedicated to obtain ketones from raw carboxylic acids (2) and CO2 (3). However, the addition of localized carbon nucleophiles to carboxylic acids is a key transformation that remains challenging after decades of research (Scheme 1A). Most approaches elaborate carboxylic acids 2 into more electrophilic derivatives 4, such as acyl chlorides, 2 anhydrides, 3 thioesters, 2f,4 cyanides, 5 ketimines, 6 imides, 7 amides 8 and Weinreb amides. 9 Special carbon nucleophiles 5 with lower reactivity like cuprates, 10 organozincs, 4,11 and boronates, 2g,3b,7,12 are often used to avoid the rapid over-addition to the resulting ketone products 1. Alternatively, the direct coupling of carbon nucleophiles with unactivated carboxylic acids requires unstable organolithium reagents, often in excess. 13,14 These addition reactions to lithium carboxylate anions Li-6 benefit from the stability of the addition complex Li-7, but are limited by competing metalation reactions, carbonyl reduction, and the narrow functional scope of the lithium organometallics. 14 Grignard reagents (8) are preferred nucleophiles for their enhanced stability and functionalgroup tolerance, particularly in large-scale processes. 15,16 Unlike organolithiums, Grignard reagents (8) are poorly reactive towards carboxylate anions (6), and the resulting addition intermediates are unstable, giving rise to tertiary alcohol over-addition by-products. 13d,14