 Simulation Pedagogy is an innovative approach that activates the classroom and engages students in order to best prepare them for the care they will deliver in the clinical arena. At the Marion Peckham Egan School of Nursing and Health Studies, we have designed a state-of-the-art simulation center, which can deliver the highest fidelity environment, as well as a low-fidelity, high-touch environment to allow for safe and quality healthcare delivery in a judgment-free zone. Students work in small groups, in die-ads, and one-on-one with expert clinical instructors to care for simulated patients. Starting in their sophomore year, students utilize the simulation center to learn assessment skills in the Health Assessment Lab, practice therapeutic communication techniques for the Psychamental Health course, and experience in-class simulations for the Geriatrics course. They may also participate in a community poverty simulation on campus with a team from the VA. During junior year, they spend time in the skills lab learning many of the hands-on procedures that are central to the role of the registered nurse. Seniors are engaged in simulation throughout their medical, surgical, maternity, critical care, pediatric, and capstone courses. They practice clinical skills, apply their critical thinking abilities, learn about clinical reasoning, tackle prioritization of care, and learn how to be a part of a healthcare team. Junior laboratory staff work in the lab environment, mentoring and assisting underclassmen with skill competencies during open lab hours. Simulation pedagogy allows peer debriefing to take place in a nurturing, safe, and judgment-free environment, which enhances confidence and critical thinking skills. Innovation is at the heart of our school and has allowed us to start programs such as a theater and healthcare course that is training laypeople to become healthcare patients and assist in empathy building among practitioners.