Hi @Oliver Tech ,
To successfully install SharePoint 2019 we need at least three accounts: 1. SQL Server Service Account 2. SharePoint Farm Administrator Account 3. SharePoint Service Account. If you are using a test environment you could just use the Farm administrator user account (with right roles) to setup SharePoint 2019. And there is no harm if you just use the Farm administrator user account to setup SharePoint 2019. We recommend you to create a special setup account to better install you SharePoint if you are creating a product environment.
If an Answer is helpful, please click "Accept Answer" and upvote it.
Note: Please follow the steps in our documentation to enable e-mail notifications if you want to receive the related email notification for this thread.