Ankur Bawiskar
Tera Patron

@kack l 

it's explained in detail here

ServiceNow Learning 42: Functionality of "run as" in Flow Designer (Interesting to know) 

Running Flows with Alternate Permissions 

If my response helped please mark it correct and close the thread so that it benefits future readers.

Regards,
Ankur
Certified Technical Architect  ||  10x ServiceNow MVP  ||  ServiceNow Community Leader