Simulations can be effective for adult learning by engaging students through direct experiential learning without needing physical space. When using simulations, it is important to evaluate content, immersion, interactivity, communication, and choose simulations appropriately based on learner characteristics and relevancy. Facilitators must consider physical space, provide feedback, and enable reflection. Problems can arise if simulations lack realism, engagement, application, or reflection. Outcomes are best assessed for both near-term and long-run impacts.