If you're using uBlock Origin already this extension is nearly exactly the same and actually built on top of uBlock Origin. The difference is that this also silently clicks on each blocked ad, confusing trackers as to one's real interests. So it can give you better privacy through fuzzing the trackers.

more frequently updates would be great (its last update was 7 months ago,

I really love AdNauseam, the only thing I wish it did better was update a little more frequently (its last update was 7 months ago, at least as of March 2021 anyway).
uBlock Origin (which AdNauseam is based upon) was last updated 12 days ago and has had 11 versions release in the time since AdNauseam was last updated.
Here's to hoping we see another update sometime soon!

it used to work well but now it asks to be set up every browser start, and it honestly is kinda driving me crazy gkfdjglgkjd still 5 stars cause it does its job

amazing works!