I started with what wingman suggested and I tried to only mess with adaptive voltage but I found that the "cooler score" and "optimism" settings have a direct impact on the AI on my ASUS board (video helped me understand what was going on).
From what I understand, most people lock the "cooler score" down when they are confident in their cooler. What further impacts the AI overclock on my system is that "optimism" setting on ASUS. (sorry it's optimism not confidence. confidence is for screwing in your motherboard....)
If you lock the cooler measurement, the "optimism" number impacts how agressive the AI is with your overclock. For instance If I reload bios defaults and look at the AI settings it thinks it can get a 5.2 GHZ overclock on low voltage. I bought my CPU as a lottery looser for $400 so that is never gonna happen regardless of voltage. So what Asus requires is that you run a benchmark/stress test at default settings to teach the AI about your system, then engage the AI.
I personally think it's a cool option. Not sure how other manufacturers implement AI/OC.