Right now I just did
Feedback Moderation AND Comment Moderation: Akismet + User. So everything is still posted immediately, unless Akismet detects spam correct? Also if it's spam, where does it go? I don't see a "Spam" section in Settings
Yes it's works as you described, topics detected as SPAM by Acismet will appear at the moderation section here
with label "It's spam (Akismet)"