This chapter is an updated version of a previous article on the use of simulation in psychiatry training (Dave 2012). Professor Dave’s observation that changes in the delivery of psychiatric care, such as ward closures and the creation of specialist teams, might limit the availability of direct patient contact for trainees was prescient. What was, however, unimaginable at the time of writing the article was the effect that a global pandemic such as COVID-19 would have on the provision of clinical training by limiting access to clinical placements (Lucey and Johnston 2020). These factors have increased the urgency and pressure for those concerned with the delivery of training to create and deliver simulation-based learning (SBL), often online. Many educators may have found themselves wishing for a guide on how to produce psychiatry-orientated SBL experiences.