Connect via Bluetooth
Connect to any Bluetooth speaker or compatible manikin through the web portal interface.

Virtual patients that respond, instructors who stay in control.
Meet the SimReactive family from Pixel & Pulse Simulation.
Meet the interface.
Take the controls.
A live voice patient that responds based off guided behavior states, and natural conversation.

25 years · English. Graduate student and barista presenting with caffeine-related chest tightness.
Explore this patient’s behavior states using the controls below.
SAMPLE PATIENTClear, calm responses
“Can you tell me what happens next?”
Maternal emotion and contraction-aware responses for the human moments of labor and delivery.

26 years · G1P0 · 39w2d · English. Normal healthy vertex delivery.
Explore this patient’s labor phases and emotions using the controls below.
26 · G1P0 · 39w2d · English
Normal healthy vertex deliveryAnxious
“Is my baby okay?”
Practice therapeutic communication with a virtual patient whose responses reflect the encounter.


A planned follow-up for sleep difficulties; construction noise outside the military clinic has left him on edge.
“I haven’t been sleeping much. I’d rather just focus on that.”
Offline design preview · sample text only · live session controls disabled
| At a glance | ![]() | ![]() | ![]() |
|---|---|---|---|
| Learning focus | Clinical communication | Labor & delivery | Behavioral health |
| Patient behavior | Instructor-directed behavior states | Emotion through labor & contractions | Responses shaped by the conversation |
| A sample moment | My chest pain is unbearable, I can’t breathe! | Is my baby okay? | I don’t really want to talk about what happened. |
| Interface | Runs in a browser on Windows, macOS, iPhone and iPad, and Android. Add a Bluetooth speaker to give any manikin the patient’s voice. | Runs in a browser on Windows, macOS, iPhone and iPad, and Android. Add a Bluetooth speaker to give any manikin the patient’s voice. | Runs in a browser on Windows, macOS, iPhone and iPad, and Android. Add a Bluetooth speaker to give any manikin the patient’s voice. |
| Current stage | Coming soon | Coming soon | Coming soon |
Connect to any Bluetooth speaker or compatible manikin through the web portal interface.
Select from various custom generated virtual patient profiles.
Control patient responses with specific physiologic behavior states and emotions.
Bring communication and clinical decisions into a printable debrief where you can even hear it in the patient's own voice.

Build the space to listen, respond, and reflect - SimReactive provides dynamic, adaptive, and realistic web based AI virtual encounters. Customize your own library of patients, select their voice, and watch your learners strengthen their ability to communicate in real time.
A responsive AI voice patient, instructor-directed behavior states, and an evidence-based communication debrief. It brings the patient's side of the encounter into the learning experience.
SimReactive OB focuses on the emotional experience of labor and delivery, including pain, anxiety, reassurance, and responses to contractions.
C.A.L.M. means Crisis Awareness & Language Model. Behavioral health simulation lets learners practice therapeutic communication, assessment, crisis intervention, and de-escalation with virtual patients experiencing mental health and cognitive conditions.
All three products are coming soon. Beta-testers can access the portal now; official release and subscription information will follow.