Simulation has been recognized in the history of military training, medical education and aviation coaching. Currently, simulation has been integrated in nursing education and skill development for both nurses and students. Clinical simulation-based training has become a popular approach in teaching and curriculum building. This is because simulation-based education presents real-life situational experiences with opportunities for clinical practice and decision-making skills. The presentation will provide an overview of simulation techniques that have been used in nursing education programs for post and undergraduate students and nurses. It will also present some evidence of the impact of using simulation training on patients’ outcomes. Additionally, some examples and recommendations will be provided that could help in developing your simulation program. On the other hand, despite the high recognition to use simulation as a viable tool for teaching and maybe research, we cannot ignore the potential challenges of using simulation. Such as, creating realism as poor validity is associated with lack of realism. Simulation instructors need to consider tractability of the simulation activity, correspondence to real life and learners’ engagement.