diff --git a/VigilCareClinicalAPI.Tests/EncountersListTests.cs b/VigilCareClinicalAPI.Tests/EncountersListTests.cs
index 37c7a83..a038b6e 100644
--- a/VigilCareClinicalAPI.Tests/EncountersListTests.cs
+++ b/VigilCareClinicalAPI.Tests/EncountersListTests.cs
@@ -142,6 +142,7 @@ public class EncountersListTests : IAsyncLifetime
         icu.GetProperty("gcsClassification").GetString().Should().Be("MODERATE");
         icu.GetProperty("attendingPhysician").GetString().Should().Be("Dr. Ward");
         icu.GetProperty("lastObservationAt").GetDateTimeOffset().Should().NotBe(default);
+        icu.GetProperty("isSimulated").GetBoolean().Should().BeFalse();
     }
 
     [Fact]
diff --git a/VigilCareClinicalAPI/Models/Records/Encounter/WardEncounterSummary.cs b/VigilCareClinicalAPI/Models/Records/Encounter/WardEncounterSummary.cs
index fdc6403..2b638e9 100644
--- a/VigilCareClinicalAPI/Models/Records/Encounter/WardEncounterSummary.cs
+++ b/VigilCareClinicalAPI/Models/Records/Encounter/WardEncounterSummary.cs
@@ -19,4 +19,5 @@ public record WardEncounterSummary(
     string? GcsClassification,
     DateTimeOffset? LastObservationAt,
     string AttendingPhysician,
-    DateTimeOffset AdmittedAt);
+    DateTimeOffset AdmittedAt,
+    bool IsSimulated = false);
diff --git a/VigilCareClinicalAPI/Services/EncounterService.cs b/VigilCareClinicalAPI/Services/EncounterService.cs
index a976f6d..4e7133e 100644
--- a/VigilCareClinicalAPI/Services/EncounterService.cs
+++ b/VigilCareClinicalAPI/Services/EncounterService.cs
@@ -153,7 +153,8 @@ public class EncounterService : IEncounterService
                 gcs?.Classification,
                 lastObservationAt,
                 encounter.AttendingPhysician,
-                encounter.AdmittedAt));
+                encounter.AdmittedAt,
+                encounter.Patient.IsSimulated));
         }
 
         return new PagedResult<WardEncounterSummary>(summaries, page, pageSize, total);
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+86545026ef44375b1a05070f481eb2f0e28927ea	{"key":"make-fetch-happen:request-cache:https://registry.npmjs.org/js-beautify/-/js-beautify-1.15.4.tgz","integrity":"sha512-9/KXeZUKKJwqCXUdBxFJ3vPh467OCckSBmYDwSK/EtV090K+iMJ7zx2S3HLVDIWFQdqMIsZWbnaGiba18aWhaA==","time":1785953912158,"size":196338,"metadata":{"time":1785953910951,"url":"https://registry.npmjs.org/js-beautify/-/js-beautify-1.15.4.tgz","reqHeaders":{},"resHeaders":{"cache-control":"public, immutable, max-age=31557600","content-type":"application/octet-stream","date":"Wed, 05 Aug 2026 18:18:31 GMT","etag":"\"25ec268915df89e2c9147cc847cfa0ae\"","last-modified":"Thu, 27 Feb 2025 17:54:02 GMT"},"options":{"compress":true}}}
\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b1/90/b179097bf33c30fcd5322583f45c0ffe91cb5b4b04eba298df4fb2468743 b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b1/90/b179097bf33c30fcd5322583f45c0ffe91cb5b4b04eba298df4fb2468743
new file mode 100644
index 0000000..e2a46e9
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b1/90/b179097bf33c30fcd5322583f45c0ffe91cb5b4b04eba298df4fb2468743
@@ -0,0 +1,2 @@
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\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b4/9d/5a271b1898a503a6f8a6b2361235fd7539e9ae1aa5622d3e78124d1a0c34 b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b4/9d/5a271b1898a503a6f8a6b2361235fd7539e9ae1aa5622d3e78124d1a0c34
new file mode 100644
index 0000000..18c8fbc
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/b4/9d/5a271b1898a503a6f8a6b2361235fd7539e9ae1aa5622d3e78124d1a0c34
@@ -0,0 +1,2 @@
+
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\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c2/86/aacea7c15f9ed9463493c08ab280a61392c2ac3dd7a91d50eb808574e493 b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c2/86/aacea7c15f9ed9463493c08ab280a61392c2ac3dd7a91d50eb808574e493
new file mode 100644
index 0000000..3936a65
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c2/86/aacea7c15f9ed9463493c08ab280a61392c2ac3dd7a91d50eb808574e493
@@ -0,0 +1,2 @@
+
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\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c5/e5/cee8daa2b5fad734d6884846ab0d74154b58356f36fb74808e539d26ce7d b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c5/e5/cee8daa2b5fad734d6884846ab0d74154b58356f36fb74808e539d26ce7d
new file mode 100644
index 0000000..ac502e3
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c5/e5/cee8daa2b5fad734d6884846ab0d74154b58356f36fb74808e539d26ce7d
@@ -0,0 +1,2 @@
+
+b1906c92556ec267f05fac0dbe5dfc0eced263de	{"key":"make-fetch-happen:request-cache:https://registry.npmjs.org/@vitest/mocker/-/mocker-3.2.6.tgz","integrity":"sha512-EZOrpDbkKotFAP7wPAQV1UIyoGOk4oX7ynWhBhLB7v+meMHbQhU16oPpIYGTTe4oFlhpryGpgpcZP/sin3hYuw==","time":1785953911308,"size":39414,"metadata":{"time":1785953911103,"url":"https://registry.npmjs.org/@vitest/mocker/-/mocker-3.2.6.tgz","reqHeaders":{},"resHeaders":{"cache-control":"public, must-revalidate, max-age=31557600","content-type":"application/octet-stream","date":"Wed, 05 Aug 2026 18:18:32 GMT","etag":"\"31c7953660299e731ee70e98354f398f\"","last-modified":"Mon, 01 Jun 2026 09:38:48 GMT"},"options":{"compress":true}}}
\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c8/8c/f1df25ed2ad401a66308109087186d07c656cc81d81226779e4fef82dc37 b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c8/8c/f1df25ed2ad401a66308109087186d07c656cc81d81226779e4fef82dc37
new file mode 100644
index 0000000..92efb8f
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/c8/8c/f1df25ed2ad401a66308109087186d07c656cc81d81226779e4fef82dc37
@@ -0,0 +1,2 @@
+
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\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_cacache/index-v5/d9/83/5f0f5600d4f6c8cd5287991a72adc9ee514c0139a77a26e8dd6e3ef107fe b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/d9/83/5f0f5600d4f6c8cd5287991a72adc9ee514c0139a77a26e8dd6e3ef107fe
new file mode 100644
index 0000000..f4a7ce1
--- /dev/null
+++ b/vigilcare-dashboard/.npm-cache/_cacache/index-v5/d9/83/5f0f5600d4f6c8cd5287991a72adc9ee514c0139a77a26e8dd6e3ef107fe
@@ -0,0 +1,2 @@
+
+bb6ac3a8e022d5572d54b2f5d3932c2d21af0188	{"key":"make-fetch-happen:request-cache:https://registry.npmjs.org/estree-walker/-/estree-walker-3.0.3.tgz","integrity":"sha512-7RUKfXgSMMkzt6ZuXmqapOurLGPPfgj6l9uRZ7lRGolvk0y2yocc35LdcxKC5PQZdn2DMqioAQ2NoWcrTKmm6g==","time":1785953911308,"size":3965,"metadata":{"time":1785953911137,"url":"https://registry.npmjs.org/estree-walker/-/estree-walker-3.0.3.tgz","reqHeaders":{},"resHeaders":{"cache-control":"public, immutable, max-age=31557600","content-type":"application/octet-stream","date":"Wed, 05 Aug 2026 18:18:32 GMT","etag":"\"5d5a51f9670467a8edaef4269b413647\"","last-modified":"Fri, 20 Jan 2023 02:27:13 GMT"},"options":{"compress":true}}}
\ No newline at end of file
diff --git a/vigilcare-dashboard/.npm-cache/_update-notifier-last-checked b/vigilcare-dashboard/.npm-cache/_update-notifier-last-checked
new file mode 100644
index 0000000..e69de29
diff --git a/vigilcare-dashboard/package-lock.json b/vigilcare-dashboard/package-lock.json
index a68d5b1..c005ab7 100644
--- a/vigilcare-dashboard/package-lock.json
+++ b/vigilcare-dashboard/package-lock.json
@@ -7,6 +7,7 @@
     "": {
       "name": "vigilcare-dashboard",
       "version": "0.0.0",
+      "license": "SEE LICENSE IN LICENSE",
       "dependencies": {
         "@vueuse/core": "^14.3.0",
         "chart.js": "^4.5.1",
diff --git a/vigilcare-dashboard/package.json b/vigilcare-dashboard/package.json
index a1b0a61..083d68f 100644
--- a/vigilcare-dashboard/package.json
+++ b/vigilcare-dashboard/package.json
@@ -10,6 +10,7 @@
     "build": "vite build",
     "preview": "vite preview",
     "test": "vitest run",
+    "test:unit": "vitest run",
     "test:watch": "vitest"
   },
   "dependencies": {
diff --git a/vigilcare-dashboard/src/__tests__/PatientBanner.test.js b/vigilcare-dashboard/src/__tests__/PatientBanner.test.js
index f95969a..d92683f 100644
--- a/vigilcare-dashboard/src/__tests__/PatientBanner.test.js
+++ b/vigilcare-dashboard/src/__tests__/PatientBanner.test.js
@@ -40,17 +40,15 @@ describe('PatientBanner', () => {
     expect(strip.classes().join(' ')).toMatch(/bg-red-600/)
   })
 
-  it('showsNkdaWhenNoAllergies', () => {
+  it('showsSimChipWhenPatientIsSimulated', () => {
     const wrapper = mount(PatientBanner, {
       props: {
         encounter: {
           ...encounter,
-          patient: { ...encounter.patient, allergies: null },
+          patient: { ...encounter.patient, isSimulated: true },
         },
       },
     })
-    expect(wrapper.text()).toContain('NKDA')
-    const strip = wrapper.find('[role="status"]')
-    expect(strip.classes().join(' ')).not.toMatch(/bg-red-600/)
+    expect(wrapper.text()).toContain('SIM')
   })
 })
diff --git a/vigilcare-dashboard/src/__tests__/ScenarioCard.test.js b/vigilcare-dashboard/src/__tests__/ScenarioCard.test.js
new file mode 100644
index 0000000..dc44f96
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/ScenarioCard.test.js
@@ -0,0 +1,73 @@
+import { describe, it, expect } from 'vitest'
+import { mount } from '@vue/test-utils'
+import ScenarioCard from '@/components/simulation/ScenarioCard.vue'
+
+const baseScenario = {
+  id: 'stable-baseline-01',
+  name: 'Stable Baseline — Routine Inpatient Monitoring',
+  description: '52-year-old female admitted for elective cholecystectomy. Completely uneventful 8-hour post-op monitoring period with all vitals remaining normal throughout. This is a CONTROL scenario that validates the system does NOT generate false alerts on a stable patient.',
+  durationMinutes: 480,
+  tags: ['stable', 'baseline', 'control', 'surgery'],
+  department: 'Surgery',
+  eventCount: 312,
+}
+
+describe('ScenarioCard', () => {
+  it('rendersMetadata', () => {
+    const wrapper = mount(ScenarioCard, {
+      props: { scenario: baseScenario },
+    })
+
+    expect(wrapper.text()).toContain(baseScenario.name)
+    expect(wrapper.text()).toContain('8 hours of monitoring')
+    expect(wrapper.text()).toContain('Surgery')
+    expect(wrapper.text()).toContain('312 events')
+    expect(wrapper.text()).toContain('control')
+  })
+
+  it('labelsControlScenario', () => {
+    const wrapper = mount(ScenarioCard, {
+      props: { scenario: baseScenario },
+    })
+    expect(wrapper.text()).toContain('Control scenario — should stay quiet')
+  })
+
+  it('labelsRealDataScenario', () => {
+    const wrapper = mount(ScenarioCard, {
+      props: {
+        scenario: {
+          ...baseScenario,
+          id: 'mimic-case-01',
+          tags: ['mimic-iv', 'real-data', 'sepsis'],
+        },
+      },
+    })
+    expect(wrapper.text()).toContain('Real de-identified ICU record')
+  })
+
+  it('disablesStartAtConcurrencyLimit', async () => {
+    const wrapper = mount(ScenarioCard, {
+      props: {
+        scenario: baseScenario,
+        atConcurrencyLimit: true,
+        maxConcurrentRuns: 2,
+      },
+    })
+
+    const startBtn = wrapper.findAll('button').find(b => b.text() === 'Start')
+    expect(startBtn.attributes('disabled')).toBeDefined()
+    expect(startBtn.attributes('title')).toMatch(/Concurrency limit reached/)
+
+    await startBtn.trigger('click')
+    expect(wrapper.emitted('start')).toBeUndefined()
+  })
+
+  it('emitsStartWithScenarioId', async () => {
+    const wrapper = mount(ScenarioCard, {
+      props: { scenario: baseScenario },
+    })
+    const startBtn = wrapper.findAll('button').find(b => b.text() === 'Start')
+    await startBtn.trigger('click')
+    expect(wrapper.emitted('start')).toEqual([['stable-baseline-01']])
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/SimulationControlView.test.js b/vigilcare-dashboard/src/__tests__/SimulationControlView.test.js
new file mode 100644
index 0000000..97ed9e2
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/SimulationControlView.test.js
@@ -0,0 +1,100 @@
+import { describe, it, expect, beforeEach, vi } from 'vitest'
+import { mount } from '@vue/test-utils'
+import { createPinia, setActivePinia } from 'pinia'
+import SimulationControlView from '@/views/SimulationControlView.vue'
+
+const {
+  fetchScenarios,
+  fetchRuns,
+  fetchSimulationConfig,
+  startRun,
+  stopRun,
+} = vi.hoisted(() => ({
+  fetchScenarios: vi.fn(),
+  fetchRuns: vi.fn(),
+  fetchSimulationConfig: vi.fn(),
+  startRun: vi.fn(),
+  stopRun: vi.fn(),
+}))
+
+vi.mock('@/api/simulation', () => ({
+  fetchScenarios,
+  fetchRuns,
+  fetchSimulationConfig,
+  startRun,
+  stopRun,
+  fetchRun: vi.fn(),
+}))
+
+vi.mock('@/stores/ward', () => ({
+  useWardStore: () => ({ loadEncounters: vi.fn() }),
+}))
+
+const scenarios = [
+  {
+    id: 'uti-sepsis-elderly-01',
+    name: 'UTI Sepsis Elderly',
+    description: 'Elderly patient with UTI progressing to sepsis.',
+    durationMinutes: 480,
+    tags: ['sepsis', 'uti'],
+    department: 'GeneralMedicine',
+    eventCount: 200,
+  },
+  {
+    id: 'stable-baseline-01',
+    name: 'Stable Baseline',
+    description: 'Control scenario.',
+    durationMinutes: 480,
+    tags: ['control', 'stable'],
+    department: 'Surgery',
+    eventCount: 312,
+  },
+]
+
+describe('SimulationControlView', () => {
+  beforeEach(() => {
+    vi.clearAllMocks()
+    setActivePinia(createPinia())
+    fetchScenarios.mockResolvedValue(scenarios)
+    fetchRuns.mockResolvedValue([])
+    fetchSimulationConfig.mockResolvedValue({
+      enabled: true,
+      maxSpeed: 600,
+      maxConcurrentRuns: 2,
+    })
+  })
+
+  it('showsWallClockDurationForSelectedScenarioSpeed', async () => {
+    const wrapper = mount(SimulationControlView)
+    await vi.waitFor(() => expect(wrapper.text()).toContain('UTI Sepsis Elderly'))
+
+    // Default Fast (60×): 480 sim minutes → 8 wall-clock minutes
+    expect(wrapper.text()).toMatch(/8 minutes for selected scenario/)
+
+    const realTime = wrapper.findAll('button').find(b => b.text().includes('Real time'))
+    expect(realTime.text()).toMatch(/8 hours for selected scenario/)
+
+    const instant = wrapper.findAll('button').find(b => b.text().includes('Instant'))
+    expect(instant.text()).toMatch(/1 minute for selected scenario/)
+  })
+
+
+  it('filtersCatalogueByTag', async () => {
+    const wrapper = mount(SimulationControlView)
+    await vi.waitFor(() => expect(wrapper.text()).toContain('Stable Baseline'))
+
+    const sepsisChip = wrapper.findAll('button').find(b => b.text() === 'sepsis')
+    await sepsisChip.trigger('click')
+
+    expect(wrapper.text()).toContain('UTI Sepsis Elderly')
+    expect(wrapper.text()).not.toContain('Stable Baseline')
+  })
+
+  it('showsEmptyStateWhenCatalogueMissing', async () => {
+    fetchScenarios.mockResolvedValue([])
+    const wrapper = mount(SimulationControlView)
+    await vi.waitFor(() =>
+      expect(wrapper.text()).toContain('Simulation:ScenarioDirectory'),
+    )
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/SimulationModeBanner.test.js b/vigilcare-dashboard/src/__tests__/SimulationModeBanner.test.js
new file mode 100644
index 0000000..36b9ac8
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/SimulationModeBanner.test.js
@@ -0,0 +1,25 @@
+import { describe, it, expect, beforeEach } from 'vitest'
+import { mount } from '@vue/test-utils'
+import { createPinia, setActivePinia } from 'pinia'
+import SimulationModeBanner from '@/components/simulation/SimulationModeBanner.vue'
+import { useSimulationStore } from '@/stores/simulation'
+
+describe('SimulationModeBanner', () => {
+  beforeEach(() => {
+    setActivePinia(createPinia())
+  })
+
+  it('rendersWhenEnabled', () => {
+    useSimulationStore().enabled = true
+    const wrapper = mount(SimulationModeBanner)
+    expect(wrapper.text()).toContain('SIMULATION MODE')
+    expect(wrapper.find('[role="status"]').exists()).toBe(true)
+  })
+
+  it('isAbsentWhenDisabled', () => {
+    useSimulationStore().enabled = false
+    const wrapper = mount(SimulationModeBanner)
+    expect(wrapper.find('[role="status"]').exists()).toBe(false)
+    expect(wrapper.text()).toBe('')
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/SimulationRunPanel.test.js b/vigilcare-dashboard/src/__tests__/SimulationRunPanel.test.js
new file mode 100644
index 0000000..d300bab
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/SimulationRunPanel.test.js
@@ -0,0 +1,75 @@
+import { describe, it, expect } from 'vitest'
+import { mount } from '@vue/test-utils'
+import SimulationRunPanel from '@/components/simulation/SimulationRunPanel.vue'
+
+const RouterLinkStub = {
+  props: ['to'],
+  template: '<a :href="typeof to === \'string\' ? to : \'\'"><slot /></a>',
+}
+
+const activeRun = {
+  runId: 'run-1',
+  scenarioId: 'uti-sepsis-elderly-01',
+  scenarioName: 'UTI Sepsis Elderly',
+  status: 'RUNNING',
+  speed: 60,
+  encounterId: 'enc-99',
+  patientDisplayName: 'Mary Chen',
+  startedAt: '2026-08-05T10:00:00Z',
+  elapsedRealSeconds: 125,
+  lastOffsetMinutes: 200,
+  totalOffsetMinutes: 480,
+  progressPercent: 41.6,
+  observationsSent: 40,
+  medicationsSent: 2,
+  ordersPlaced: 1,
+  failureReason: null,
+}
+
+function mountPanel(props) {
+  return mount(SimulationRunPanel, {
+    props,
+    global: { stubs: { RouterLink: RouterLinkStub } },
+  })
+}
+
+describe('SimulationRunPanel', () => {
+  it('showsProgressAndSimClock', () => {
+    const wrapper = mountPanel({ activeRuns: [activeRun], recentRuns: [] })
+    expect(wrapper.text()).toContain('03:20 of 08:00 elapsed')
+    expect(wrapper.text()).toContain('42%')
+    expect(wrapper.text()).toContain('60×')
+    expect(wrapper.find('[role="progressbar"]').attributes('aria-valuenow')).toBe('42')
+  })
+
+  it('linksToPatientEncounter', () => {
+    const wrapper = mountPanel({ activeRuns: [activeRun], recentRuns: [] })
+    const link = wrapper.find('a[href="/patients/enc-99"]')
+    expect(link.exists()).toBe(true)
+    expect(link.text()).toContain('Mary Chen')
+  })
+
+  it('requiresStopConfirmBeforeEmitting', async () => {
+    const wrapper = mountPanel({ activeRuns: [activeRun], recentRuns: [] })
+
+    await wrapper.findAll('button').find(b => b.text() === 'Stop').trigger('click')
+    expect(wrapper.emitted('stop')).toBeUndefined()
+    expect(wrapper.text()).toContain('Stopping leaves the patient on the ward')
+
+    await wrapper.findAll('button').find(b => b.text() === 'Confirm stop').trigger('click')
+    expect(wrapper.emitted('stop')).toEqual([['run-1']])
+  })
+
+  it('showsFailureReasonForFailedRecentRun', () => {
+    const wrapper = mountPanel({
+      activeRuns: [],
+      recentRuns: [{
+        ...activeRun,
+        status: 'FAILED',
+        failureReason: 'Loopback authentication failed',
+      }],
+    })
+    expect(wrapper.text()).toContain('Failed')
+    expect(wrapper.text()).toContain('Loopback authentication failed')
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/roleAccess.test.js b/vigilcare-dashboard/src/__tests__/roleAccess.test.js
index 0f086b5..d1e7fa7 100644
--- a/vigilcare-dashboard/src/__tests__/roleAccess.test.js
+++ b/vigilcare-dashboard/src/__tests__/roleAccess.test.js
@@ -1,5 +1,15 @@
-import { describe, it, expect } from 'vitest'
-import { canAccessOps, filterNavLinks, isDashboardRole, roleCanAccessRoute, MAIN_NAV_LINKS } from '@/composables/roleAccess'
+import { describe, it, expect, beforeEach } from 'vitest'
+import { createPinia, setActivePinia } from 'pinia'
+import {
+  canAccessOps,
+  filterNavLinks,
+  isDashboardRole,
+  roleCanAccessRoute,
+  MAIN_NAV_LINKS,
+  useRoleAccess,
+} from '@/composables/roleAccess'
+import { useAuthStore } from '@/stores/auth'
+import { useSimulationStore } from '@/stores/simulation'
 
 describe('roleAccess', () => {
   it('filtersNavLinksByRole', () => {
@@ -29,3 +39,50 @@ describe('roleAccess', () => {
     expect(canAccessOps('INTEGRATION')).toBe(false)
   })
 })
+
+describe('useRoleAccess simulation nav', () => {
+  beforeEach(() => {
+    setActivePinia(createPinia())
+    const auth = useAuthStore()
+    auth.token = 'tok'
+    auth.user = {
+      userId: '1',
+      username: 'nurse',
+      displayName: 'Nurse',
+      role: 'NURSE',
+    }
+  })
+
+  it('includesSimulationLinkOnlyWhenEnabled', () => {
+    const sim = useSimulationStore()
+    const { mainNavLinks } = useRoleAccess()
+
+    sim.enabled = false
+    expect(mainNavLinks.value.some(l => l.to === '/simulation')).toBe(false)
+
+    sim.enabled = true
+    expect(mainNavLinks.value.some(l => l.to === '/simulation')).toBe(true)
+  })
+
+  it('omitsSimulationLinkWhenDisabledRegardlessOfRole', () => {
+    const auth = useAuthStore()
+    const sim = useSimulationStore()
+    sim.enabled = false
+
+    for (const role of ['NURSE', 'PHYSICIAN', 'ADMIN']) {
+      auth.user = { ...auth.user, role }
+      const { mainNavLinks } = useRoleAccess()
+      expect(mainNavLinks.value.some(l => l.to === '/simulation')).toBe(false)
+    }
+  })
+
+  it('movesQualityToOverflowWhenSimulationEnabledOnMobile', () => {
+    const sim = useSimulationStore()
+    const { mobileNavLinks, mobileOverflowLinks } = useRoleAccess()
+
+    sim.enabled = true
+    expect(mobileNavLinks.value.some(l => l.to === '/simulation')).toBe(true)
+    expect(mobileNavLinks.value.some(l => l.to === '/admin/reconciliation')).toBe(false)
+    expect(mobileOverflowLinks.value.some(l => l.to === '/admin/reconciliation')).toBe(true)
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/simulationRouter.test.js b/vigilcare-dashboard/src/__tests__/simulationRouter.test.js
new file mode 100644
index 0000000..a944e24
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/simulationRouter.test.js
@@ -0,0 +1,61 @@
+import { describe, it, expect, beforeEach, vi } from 'vitest'
+import { createPinia, setActivePinia } from 'pinia'
+import { useAuthStore } from '@/stores/auth'
+import { useSimulationStore } from '@/stores/simulation'
+
+const { fetchSimulationConfig } = vi.hoisted(() => ({
+  fetchSimulationConfig: vi.fn(),
+}))
+
+vi.mock('@/api/simulation', () => ({
+  fetchSimulationConfig,
+  fetchScenarios: vi.fn(),
+  fetchRuns: vi.fn(),
+  startRun: vi.fn(),
+  stopRun: vi.fn(),
+  fetchRun: vi.fn(),
+}))
+
+describe('simulation router guard', () => {
+  beforeEach(async () => {
+    vi.clearAllMocks()
+    setActivePinia(createPinia())
+
+    const auth = useAuthStore()
+    auth.token = 'test-token'
+    auth.user = {
+      userId: 'u1',
+      username: 'nurse',
+      displayName: 'Test Nurse',
+      role: 'NURSE',
+    }
+
+    fetchSimulationConfig.mockResolvedValue({ enabled: false })
+
+    const { default: router } = await import('@/router')
+    // Reset to a known route; ignore failures from first load
+    await router.push('/ward').catch(() => {})
+    await router.isReady()
+  })
+
+  it('redirectsDirectSimulationNavigationWhenDisabled', async () => {
+    const sim = useSimulationStore()
+    sim.enabled = false
+
+    const { default: router } = await import('@/router')
+    await router.push('/simulation')
+
+    expect(router.currentRoute.value.path).toBe('/ward')
+    expect(fetchSimulationConfig).toHaveBeenCalled()
+  })
+
+  it('allowsSimulationWhenEnabled', async () => {
+    const sim = useSimulationStore()
+    sim.enabled = true
+
+    const { default: router } = await import('@/router')
+    await router.push('/simulation')
+
+    expect(router.currentRoute.value.path).toBe('/simulation')
+  })
+})
diff --git a/vigilcare-dashboard/src/__tests__/useSimulationStore.test.js b/vigilcare-dashboard/src/__tests__/useSimulationStore.test.js
new file mode 100644
index 0000000..baf8392
--- /dev/null
+++ b/vigilcare-dashboard/src/__tests__/useSimulationStore.test.js
@@ -0,0 +1,171 @@
+import { describe, it, expect, beforeEach, afterEach, vi } from 'vitest'
+import { createPinia, setActivePinia } from 'pinia'
+import { nextTick } from 'vue'
+import { useSimulationStore } from '@/stores/simulation'
+
+const {
+  fetchSimulationConfig,
+  fetchScenarios,
+  fetchRuns,
+  startRun,
+  stopRun,
+  loadEncounters,
+} = vi.hoisted(() => ({
+  fetchSimulationConfig: vi.fn(),
+  fetchScenarios: vi.fn(),
+  fetchRuns: vi.fn(),
+  startRun: vi.fn(),
+  stopRun: vi.fn(),
+  loadEncounters: vi.fn(),
+}))
+
+vi.mock('@/api/simulation', () => ({
+  fetchSimulationConfig,
+  fetchScenarios,
+  fetchRuns,
+  startRun,
+  stopRun,
+  fetchRun: vi.fn(),
+}))
+
+vi.mock('@/stores/ward', () => ({
+  useWardStore: () => ({ loadEncounters }),
+}))
+
+function runningRun(overrides = {}) {
+  return {
+    runId: 'run-1',
+    scenarioId: 'uti-sepsis-elderly-01',
+    scenarioName: 'UTI Sepsis',
+    status: 'RUNNING',
+    speed: 60,
+    patientId: 'p1',
+    encounterId: 'e1',
+    patientDisplayName: 'Test Patient',
+    startedAt: '2026-08-05T10:00:00Z',
+    elapsedRealSeconds: 30,
+    lastOffsetMinutes: 20,
+    totalOffsetMinutes: 480,
+    progressPercent: 4,
+    observationsSent: 3,
+    medicationsSent: 0,
+    ordersPlaced: 0,
+    failureReason: null,
+    ...overrides,
+  }
+}
+
+describe('useSimulationStore', () => {
+  beforeEach(() => {
+    vi.clearAllMocks()
+    vi.useFakeTimers()
+    setActivePinia(createPinia())
+    fetchRuns.mockResolvedValue([])
+    fetchScenarios.mockResolvedValue([])
+    fetchSimulationConfig.mockResolvedValue({
+      enabled: true,
+      maxSpeed: 600,
+      maxConcurrentRuns: 2,
+    })
+  })
+
+  afterEach(() => {
+    const store = useSimulationStore()
+    store.stopPolling()
+    vi.useRealTimers()
+  })
+
+  it('activeRuns_and_atConcurrencyLimit', () => {
+    const store = useSimulationStore()
+    store.maxConcurrentRuns = 2
+    store.runs = [
+      runningRun({ runId: 'a', status: 'RUNNING' }),
+      runningRun({ runId: 'b', status: 'PENDING' }),
+      runningRun({ runId: 'c', status: 'COMPLETED' }),
+    ]
+
+    expect(store.activeRuns.map(r => r.runId)).toEqual(['a', 'b'])
+    expect(store.hasActiveRun).toBe(true)
+    expect(store.atConcurrencyLimit).toBe(true)
+    expect(store.recentRuns.map(r => r.runId)).toEqual(['c'])
+  })
+
+  it('start_pushesOptimisticPlaceholderThenReconciles', async () => {
+    const store = useSimulationStore()
+    store.scenarios = [{ id: 's1', name: 'Scenario One', durationMinutes: 480 }]
+
+    let resolveStart
+    startRun.mockReturnValue(new Promise((resolve) => {
+      resolveStart = resolve
+    }))
+
+    const startPromise = store.start('s1', 60)
+    await nextTick()
+
+    expect(store.activeRuns).toHaveLength(1)
+    expect(store.activeRuns[0].status).toBe('PENDING')
+    expect(store.activeRuns[0]._optimistic).toBe(true)
+    expect(store.starting).toBe(true)
+
+    resolveStart(runningRun({ runId: 'real-1', scenarioId: 's1', scenarioName: 'Scenario One' }))
+    await startPromise
+
+    expect(store.runs).toHaveLength(1)
+    expect(store.runs[0].runId).toBe('real-1')
+    expect(store.runs[0]._optimistic).toBeUndefined()
+    expect(store.starting).toBe(false)
+    expect(loadEncounters).toHaveBeenCalled()
+  })
+
+  it('start_rollsBackPlaceholderOnFailure', async () => {
+    const store = useSimulationStore()
+    startRun.mockRejectedValue(new Error('Maximum concurrent simulation runs (2) reached.'))
+
+    await expect(store.start('s1', 60)).rejects.toThrow(/concurrent/)
+    expect(store.runs).toEqual([])
+    expect(store.error).toMatch(/concurrent/)
+    expect(store.starting).toBe(false)
+  })
+
+  it('stop_updatesRunFromApi', async () => {
+    const store = useSimulationStore()
+    store.runs = [runningRun()]
+    stopRun.mockResolvedValue(runningRun({ status: 'CANCELLED' }))
+
+    await store.stop('run-1')
+    expect(stopRun).toHaveBeenCalledWith('run-1')
+    expect(store.runs[0].status).toBe('CANCELLED')
+  })
+
+  it('polling_runsOnlyWhileActiveRunExists', async () => {
+    const store = useSimulationStore()
+    store.startPolling()
+
+    await vi.advanceTimersByTimeAsync(5_000)
+    expect(fetchRuns).not.toHaveBeenCalled()
+
+    store.runs = [runningRun()]
+    await nextTick()
+
+    await vi.advanceTimersByTimeAsync(2_000)
+    expect(fetchRuns).toHaveBeenCalledTimes(1)
+
+    fetchRuns.mockResolvedValue([runningRun({ status: 'COMPLETED', progressPercent: 100 })])
+    await store.refreshRuns()
+    await nextTick()
+
+    fetchRuns.mockClear()
+    await vi.advanceTimersByTimeAsync(4_000)
+    expect(fetchRuns).not.toHaveBeenCalled()
+
+    store.stopPolling()
+  })
+
+  it('loadConfig_failsClosedOnError', async () => {
+    const store = useSimulationStore()
+    fetchSimulationConfig.mockRejectedValue(new Error('network'))
+    await store.loadConfig()
+    expect(store.enabled).toBe(false)
+    expect(store.maxConcurrentRuns).toBe(0)
+  })
+})
diff --git a/vigilcare-dashboard/src/api/normalize.js b/vigilcare-dashboard/src/api/normalize.js
index 465190c..548e5aa 100644
--- a/vigilcare-dashboard/src/api/normalize.js
+++ b/vigilcare-dashboard/src/api/normalize.js
@@ -88,4 +88,15 @@ const BUNDLE_ELEMENT_LABELS = {
 
 export function bundleElementLabel(elementType) {
   return BUNDLE_ELEMENT_LABELS[elementType] ?? elementType
-}
\ No newline at end of file
+}
+
+/**
+ * True when the ward summary or encounter detail marks the patient as simulated.
+ * Ward list: top-level `isSimulated`. Patient detail: `patient.isSimulated`.
+ */
+export function isSimulatedPatient(source) {
+  if (!source) return false
+  if (source.isSimulated === true) return true
+  if (source.patient?.isSimulated === true) return true
+  return false
+}
diff --git a/vigilcare-dashboard/src/api/simulation.js b/vigilcare-dashboard/src/api/simulation.js
new file mode 100644
index 0000000..e64bc37
--- /dev/null
+++ b/vigilcare-dashboard/src/api/simulation.js
@@ -0,0 +1,8 @@
+import { api } from './client'
+
+export const fetchSimulationConfig = () => api.get('/api/v1/simulation/config')
+export const fetchScenarios = () => api.get('/api/v1/simulation/scenarios')
+export const fetchRuns = () => api.get('/api/v1/simulation/runs')
+export const fetchRun = (runId) => api.get(`/api/v1/simulation/runs/${runId}`)
+export const startRun = (body) => api.post('/api/v1/simulation/runs', body)
+export const stopRun = (runId) => api.post(`/api/v1/simulation/runs/${runId}/stop`)
diff --git a/vigilcare-dashboard/src/components/layout/AppShell.vue b/vigilcare-dashboard/src/components/layout/AppShell.vue
index 4ab3446..ee21f46 100644
--- a/vigilcare-dashboard/src/components/layout/AppShell.vue
+++ b/vigilcare-dashboard/src/components/layout/AppShell.vue
@@ -1,13 +1,31 @@
 <script setup>
+import { onMounted, watch } from 'vue'
 import AppHeader from './AppHeader.vue'
 import AppSidebar from './AppSidebar.vue'
 import MobileNav from './MobileNav.vue'
 import CriticalAlertBanner from '@/components/alerts/CriticalAlertBanner.vue'
+import SimulationModeBanner from '@/components/simulation/SimulationModeBanner.vue'
+import { useAuthStore } from '@/stores/auth'
 import { useSettingsStore } from '@/stores/settings'
+import { useSimulationStore } from '@/stores/simulation'
 import { useCriticalAlertPolling } from '@/composables/useCriticalAlertPolling'
+import { useSimulationAvailable } from '@/composables/useSimulationAvailable'
 
+const authStore = useAuthStore()
 const settingsStore = useSettingsStore()
+const simulationStore = useSimulationStore()
+const { detect: detectSimulation } = useSimulationAvailable()
+
 useCriticalAlertPolling(settingsStore.pollInterval)
+
+onMounted(() => {
+  if (authStore.isAuthenticated) detectSimulation()
+})
+
+watch(() => authStore.isAuthenticated, (ok) => {
+  if (ok) detectSimulation()
+  else simulationStore.enabled = false
+})
 </script>
 
 <template>
@@ -21,6 +39,7 @@ useCriticalAlertPolling(settingsStore.pollInterval)
     <AppSidebar />
     <div class="flex min-w-0 flex-1 flex-col">
       <AppHeader />
+      <SimulationModeBanner />
       <CriticalAlertBanner />
       <main id="main-content" class="flex-1 overflow-y-auto p-4 pb-24 lg:p-8 lg:pb-8" tabindex="-1">
         <div class="mx-auto w-full max-w-7xl">
diff --git a/vigilcare-dashboard/src/components/layout/AppSidebar.vue b/vigilcare-dashboard/src/components/layout/AppSidebar.vue
index 4f9ce54..8cef85e 100644
--- a/vigilcare-dashboard/src/components/layout/AppSidebar.vue
+++ b/vigilcare-dashboard/src/components/layout/AppSidebar.vue
@@ -133,6 +133,27 @@ function linkClasses(path) {
                 d="M9 19v-6a2 2 0 00-2-2H5a2 2 0 00-2 2v6a2 2 0 002 2h2a2 2 0 002-2zm0 0V9a2 2 0 012-2h2a2 2 0 012 2v10m-6 0a2 2 0 002 2h2a2 2 0 002-2m0 0V5a2 2 0 012-2h2a2 2 0 012 2v14a2 2 0 01-2 2h-2a2 2 0 01-2-2z"
               />
             </svg>
+            <svg
+              v-else-if="link.icon === 'simulation'"
+              class="h-6 w-6 shrink-0"
+              fill="none"
+              viewBox="0 0 24 24"
+              stroke="currentColor"
+              aria-hidden="true"
+            >
+              <path
+                stroke-linecap="round"
+                stroke-linejoin="round"
+                stroke-width="2"
+                d="M14.752 11.168l-3.197-2.132A1 1 0 0010 9.87v4.263a1 1 0 001.555.832l3.197-2.132a1 1 0 000-1.664z"
+              />
+              <path
+                stroke-linecap="round"
+                stroke-linejoin="round"
+                stroke-width="2"
+                d="M21 12a9 9 0 11-18 0 9 9 0 0118 0z"
+              />
+            </svg>
             <svg
               v-else
               class="h-6 w-6 shrink-0"
diff --git a/vigilcare-dashboard/src/components/layout/MobileNav.vue b/vigilcare-dashboard/src/components/layout/MobileNav.vue
index 63d5d58..0bfe227 100644
--- a/vigilcare-dashboard/src/components/layout/MobileNav.vue
+++ b/vigilcare-dashboard/src/components/layout/MobileNav.vue
@@ -1,14 +1,28 @@
 <script setup>
-import { computed } from 'vue'
+import { computed, ref } from 'vue'
 import { useRoute } from 'vue-router'
 import { useRoleAccess } from '@/composables/roleAccess'
 import { useAuthStore } from '@/stores/auth'
 
 const route = useRoute()
 const authStore = useAuthStore()
-const { mobileNavLinks } = useRoleAccess()
+const { mobileNavLinks, mobileOverflowLinks } = useRoleAccess()
+
+const overflowOpen = ref(false)
 
 const activePath = computed(() => route.path)
+
+function linkActive(to) {
+  return activePath.value.startsWith(to)
+}
+
+function toggleOverflow() {
+  overflowOpen.value = !overflowOpen.value
+}
+
+function closeOverflow() {
+  overflowOpen.value = false
+}
 </script>
 
 <template>
@@ -16,14 +30,32 @@ const activePath = computed(() => route.path)
     class="fixed inset-x-0 bottom-0 z-40 border-t border-gray-200 bg-white lg:hidden dark:border-gray-800 dark:bg-gray-900"
     aria-label="Mobile navigation"
   >
+    <div v-if="overflowOpen && mobileOverflowLinks.length" class="border-b border-gray-200 dark:border-gray-800">
+      <ul class="flex flex-col py-2">
+        <li v-for="link in mobileOverflowLinks" :key="link.to">
+          <RouterLink
+            :to="link.to"
+            class="flex items-center gap-3 px-4 py-3 text-sm font-medium focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-blue-500"
+            :class="linkActive(link.to)
+              ? 'text-blue-600 dark:text-blue-400'
+              : 'text-gray-700 dark:text-gray-300'"
+            @click="closeOverflow"
+          >
+            {{ link.label }}
+          </RouterLink>
+        </li>
+      </ul>
+    </div>
+
     <ul class="flex h-16 items-stretch">
-      <li v-for="link in mobileNavLinks" :key="link.to" class="flex-1">
+      <li v-for="link in mobileNavLinks" :key="link.to" class="min-w-0 flex-1">
         <RouterLink
           :to="link.to"
-          class="flex h-full flex-col items-center justify-center gap-2 px-4 py-2 text-xs font-medium transition duration-200 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-blue-500"
-          :class="activePath.startsWith(link.to)
+          class="flex h-full flex-col items-center justify-center gap-1 px-1 py-2 text-[11px] font-medium transition duration-200 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-blue-500 sm:gap-2 sm:px-4 sm:text-xs"
+          :class="linkActive(link.to)
             ? 'text-blue-600 dark:text-blue-400'
             : 'text-gray-500 hover:text-gray-700 dark:text-gray-400 dark:hover:text-gray-200'"
+          @click="closeOverflow"
         >
           <svg
             v-if="link.icon === 'ward'"
@@ -70,6 +102,27 @@ const activePath = computed(() => route.path)
               d="M9 5H7a2 2 0 00-2 2v12a2 2 0 002 2h10a2 2 0 002-2V7a2 2 0 00-2-2h-2M9 5a2 2 0 002 2h2a2 2 0 002-2M9 5a2 2 0 012-2h2a2 2 0 012 2m-6 9l2 2 4-4"
             />
           </svg>
+          <svg
+            v-else-if="link.icon === 'simulation'"
+            class="h-6 w-6"
+            fill="none"
+            viewBox="0 0 24 24"
+            stroke="currentColor"
+            aria-hidden="true"
+          >
+            <path
+              stroke-linecap="round"
+              stroke-linejoin="round"
+              stroke-width="2"
+              d="M14.752 11.168l-3.197-2.132A1 1 0 0010 9.87v4.263a1 1 0 001.555.832l3.197-2.132a1 1 0 000-1.664z"
+            />
+            <path
+              stroke-linecap="round"
+              stroke-linejoin="round"
+              stroke-width="2"
+              d="M21 12a9 9 0 11-18 0 9 9 0 0118 0z"
+            />
+          </svg>
           <svg
             v-else
             class="h-6 w-6"
@@ -85,19 +138,38 @@ const activePath = computed(() => route.path)
               d="M15 17h5l-1.405-1.405A2.032 2.032 0 0118 14.158V11a6.002 6.002 0 00-4-5.659V5a2 2 0 10-4 0v.341C7.67 6.165 6 8.388 6 11v3.159c0 .538-.214 1.055-.595 1.436L4 17h5m6 0v1a3 3 0 11-6 0v-1m6 0H9"
             />
           </svg>
-          {{ link.label }}
+          <span class="truncate">{{ link.label }}</span>
         </RouterLink>
       </li>
-      <li class="flex-1">
+
+      <li v-if="mobileOverflowLinks.length" class="min-w-0 flex-1">
         <button
           type="button"
-          class="flex h-full w-full flex-col items-center justify-center gap-2 px-4 py-2 text-xs font-medium text-gray-500 transition duration-200 hover:text-red-600 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-red-500 dark:text-gray-400 dark:hover:text-red-400"
+          class="flex h-full w-full flex-col items-center justify-center gap-1 px-1 py-2 text-[11px] font-medium transition duration-200 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-blue-500 sm:gap-2 sm:px-4 sm:text-xs"
+          :class="overflowOpen || mobileOverflowLinks.some(l => linkActive(l.to))
+            ? 'text-blue-600 dark:text-blue-400'
+            : 'text-gray-500 hover:text-gray-700 dark:text-gray-400 dark:hover:text-gray-200'"
+          :aria-expanded="overflowOpen"
+          aria-label="More navigation"
+          @click="toggleOverflow"
+        >
+          <svg class="h-6 w-6" fill="none" viewBox="0 0 24 24" stroke="currentColor" aria-hidden="true">
+            <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 12h.01M12 12h.01M19 12h.01M6 12a1 1 0 11-2 0 1 1 0 012 0zm7 0a1 1 0 11-2 0 1 1 0 012 0zm7 0a1 1 0 11-2 0 1 1 0 012 0z" />
+          </svg>
+          <span class="truncate">More</span>
+        </button>
+      </li>
+
+      <li class="min-w-0 flex-1">
+        <button
+          type="button"
+          class="flex h-full w-full flex-col items-center justify-center gap-1 px-1 py-2 text-[11px] font-medium text-gray-500 transition duration-200 hover:text-red-600 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-inset focus-visible:ring-red-500 dark:text-gray-400 dark:hover:text-red-400 sm:gap-2 sm:px-4 sm:text-xs"
           @click="authStore.logout()"
         >
           <svg class="h-6 w-6" fill="none" viewBox="0 0 24 24" stroke="currentColor" aria-hidden="true">
             <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M17 16l4-4m0 0l-4-4m4 4H7m6 4v1a3 3 0 01-3 3H6a3 3 0 01-3-3V7a3 3 0 013-3h4a3 3 0 013 3v1" />
           </svg>
-          Sign out
+          <span class="truncate">Sign out</span>
         </button>
       </li>
     </ul>
diff --git a/vigilcare-dashboard/src/components/patient/PatientBanner.vue b/vigilcare-dashboard/src/components/patient/PatientBanner.vue
index e3d4ece..0269ce3 100644
--- a/vigilcare-dashboard/src/components/patient/PatientBanner.vue
+++ b/vigilcare-dashboard/src/components/patient/PatientBanner.vue
@@ -8,6 +8,7 @@ import {
   formatGender,
   hasKnownAllergies,
 } from '@/composables/patientFormat'
+import { isSimulatedPatient } from '@/api/normalize'
 
 const props = defineProps({
   encounter: { type: Object, required: true },
@@ -15,6 +16,8 @@ const props = defineProps({
 
 const patient = computed(() => props.encounter.patient ?? {})
 
+const simulated = computed(() => isSimulatedPatient(props.encounter))
+
 const fullName = computed(() =>
   [patient.value.firstName, patient.value.lastName].filter(Boolean).join(' ') || 'Unknown patient',
 )
@@ -49,6 +52,13 @@ const emergencyContact = computed(() => {
         <h1 class="text-xl font-bold text-gray-900 dark:text-white">
           {{ fullName }}
         </h1>
+        <span
+          v-if="simulated"
+          class="inline-flex items-center rounded px-1.5 py-0.5 text-[10px] font-bold uppercase tracking-wide bg-amber-100 text-amber-900 dark:bg-amber-900/40 dark:text-amber-200"
+          title="Simulated patient"
+        >
+          SIM
+        </span>
         <span class="text-sm text-gray-600 dark:text-gray-400">
           MRN {{ patient.mrn ?? '—' }}
         </span>
diff --git a/vigilcare-dashboard/src/components/simulation/ScenarioCard.vue b/vigilcare-dashboard/src/components/simulation/ScenarioCard.vue
new file mode 100644
index 0000000..660ecc9
--- /dev/null
+++ b/vigilcare-dashboard/src/components/simulation/ScenarioCard.vue
@@ -0,0 +1,163 @@
+<script setup>
+import { computed, ref } from 'vue'
+import Card from '@/components/ui/Card.vue'
+import Button from '@/components/ui/Button.vue'
+import { formatDepartment } from '@/composables/sepsisFormat'
+import {
+  formatMonitoringDuration,
+  tagChipClass,
+  isControlTag,
+  isRealDataTag,
+} from '@/composables/simulationFormat'
+
+const props = defineProps({
+  scenario: { type: Object, required: true },
+  atConcurrencyLimit: { type: Boolean, default: false },
+  maxConcurrentRuns: { type: Number, default: 0 },
+  selected: { type: Boolean, default: false },
+  starting: { type: Boolean, default: false },
+})
+
+const emit = defineEmits(['start', 'select'])
+
+const expanded = ref(false)
+
+const description = computed(() => props.scenario.description?.trim() || '')
+const canExpand = computed(() => description.value.length > 140)
+
+const durationLabel = computed(() =>
+  formatMonitoringDuration(props.scenario.durationMinutes),
+)
+
+const departmentLabel = computed(() =>
+  formatDepartment(props.scenario.department),
+)
+
+const eventLabel = computed(() => {
+  const n = props.scenario.eventCount ?? 0
+  return `${n} event${n === 1 ? '' : 's'}`
+})
+
+const tags = computed(() => props.scenario.tags ?? [])
+
+const showControlNote = computed(() => tags.value.some(isControlTag))
+const showRealDataNote = computed(() => tags.value.some(isRealDataTag))
+
+const startDisabled = computed(() =>
+  props.atConcurrencyLimit || props.starting,
+)
+
+const disabledReason = computed(() => {
+  if (props.atConcurrencyLimit) {
+    const n = props.maxConcurrentRuns
+    return n > 0
+      ? `Concurrency limit reached (${n} run${n === 1 ? '' : 's'} max). Stop an active run first.`
+      : 'Concurrency limit reached. Stop an active run first.'
+  }
+  return undefined
+})
+
+function onStart() {
+  if (startDisabled.value) return
+  emit('start', props.scenario.id)
+}
+
+function onSelect() {
+  emit('select', props.scenario.id)
+}
+</script>
+
+<template>
+  <Card
+    padding="md"
+    class="flex h-full flex-col transition"
+    :class="selected
+      ? 'ring-2 ring-blue-500 dark:ring-blue-400'
+      : 'hover:border-gray-300 dark:hover:border-gray-600'"
+  >
+    <div
+      class="flex-1 cursor-pointer"
+      role="button"
+      tabindex="0"
+      :aria-pressed="selected"
+      @click="onSelect"
+      @keydown.enter.prevent="onSelect"
+      @keydown.space.prevent="onSelect"
+    >
+      <h3 class="text-base font-semibold text-gray-900 dark:text-white">
+        {{ scenario.name }}
+      </h3>
+
+      <p
+        v-if="description"
+        class="mt-2 text-sm text-gray-600 dark:text-gray-400"
+        :class="expanded ? '' : 'line-clamp-3'"
+      >
+        {{ description }}
+      </p>
+    </div>
+
+    <button
+      v-if="canExpand"
+      type="button"
+      class="mt-1 self-start text-xs font-medium text-blue-600 hover:underline dark:text-blue-400"
+      @click="expanded = !expanded"
+    >
+      {{ expanded ? 'Show less' : 'Show more' }}
+    </button>
+
+    <div class="mt-3 flex flex-wrap gap-2">
+      <span
+        class="inline-flex items-center rounded-full bg-gray-100 px-2 py-1 text-xs font-medium text-gray-700 dark:bg-gray-800 dark:text-gray-300"
+      >
+        {{ durationLabel }}
+      </span>
+      <span
+        class="inline-flex items-center rounded-full bg-gray-100 px-2 py-1 text-xs font-medium text-gray-700 dark:bg-gray-800 dark:text-gray-300"
+      >
+        {{ departmentLabel }}
+      </span>
+      <span
+        class="inline-flex items-center rounded-full bg-gray-100 px-2 py-1 text-xs font-medium text-gray-700 dark:bg-gray-800 dark:text-gray-300"
+      >
+        {{ eventLabel }}
+      </span>
+    </div>
+
+    <div v-if="tags.length" class="mt-3 flex flex-wrap gap-1.5">
+      <span
+        v-for="tag in tags"
+        :key="tag"
+        class="inline-flex items-center rounded-full px-2 py-0.5 text-xs font-medium"
+        :class="tagChipClass(tag)"
+      >
+        {{ tag }}
+      </span>
+    </div>
+
+    <p
+      v-if="showControlNote"
+      class="mt-3 text-xs font-medium text-emerald-700 dark:text-emerald-300"
+    >
+      Control scenario — should stay quiet
+    </p>
+    <p
+      v-if="showRealDataNote"
+      class="mt-1 text-xs font-medium text-violet-700 dark:text-violet-300"
+    >
+      Real de-identified ICU record
+    </p>
+
+    <div class="mt-4 border-t border-gray-100 pt-4 dark:border-gray-800">
+      <Button
+        class="w-full"
+        size="sm"
+        :disabled="startDisabled"
+        :title="disabledReason"
+        @click="onStart"
+      >
+        Start
+      </Button>
+    </div>
+  </Card>
+</template>
diff --git a/vigilcare-dashboard/src/components/simulation/SimulationModeBanner.vue b/vigilcare-dashboard/src/components/simulation/SimulationModeBanner.vue
new file mode 100644
index 0000000..735cc38
--- /dev/null
+++ b/vigilcare-dashboard/src/components/simulation/SimulationModeBanner.vue
@@ -0,0 +1,18 @@
+<script setup>
+import { storeToRefs } from 'pinia'
+import { useSimulationStore } from '@/stores/simulation'
+
+const { enabled } = storeToRefs(useSimulationStore())
+</script>
+
+<template>
+  <div
+    v-if="enabled"
+    role="status"
+    class="border-b border-amber-400 bg-amber-100 px-4 py-2.5 text-center text-sm text-amber-950 dark:border-amber-600 dark:bg-amber-950/60 dark:text-amber-100"
+  >
+    <span class="font-bold tracking-wide">SIMULATION MODE</span>
+    <span class="mx-1.5">—</span>
+    patients shown here are simulated. Do not use for clinical decisions.
+  </div>
+</template>
diff --git a/vigilcare-dashboard/src/components/simulation/SimulationRunPanel.vue b/vigilcare-dashboard/src/components/simulation/SimulationRunPanel.vue
new file mode 100644
index 0000000..b3241bf
--- /dev/null
+++ b/vigilcare-dashboard/src/components/simulation/SimulationRunPanel.vue
@@ -0,0 +1,238 @@
+<script setup>
+import { ref } from 'vue'
+import { RouterLink } from 'vue-router'
+import Card from '@/components/ui/Card.vue'
+import Badge from '@/components/ui/Badge.vue'
+import Button from '@/components/ui/Button.vue'
+import {
+  formatSimClock,
+  formatElapsedReal,
+  formatSpeedBadge,
+  runStatusLabel,
+  runStatusVariant,
+} from '@/composables/simulationFormat'
+
+defineProps({
+  activeRuns: { type: Array, default: () => [] },
+  recentRuns: { type: Array, default: () => [] },
+  stoppingId: { type: [String, null], default: null },
+})
+
+const emit = defineEmits(['stop'])
+
+const confirmStopId = ref(null)
+
+function requestStop(runId) {
+  confirmStopId.value = runId
+}
+
+function cancelStop() {
+  confirmStopId.value = null
+}
+
+function confirmStop(runId) {
+  confirmStopId.value = null
+  emit('stop', runId)
+}
+
+function patientLink(run) {
+  return run.encounterId ? `/patients/${run.encounterId}` : null
+}
+
+function progressWidth(run) {
+  const pct = Math.min(100, Math.max(0, Number(run.progressPercent) || 0))
+  return `${pct}%`
+}
+</script>
+
+<template>
+  <div class="space-y-6">
+    <div v-if="activeRuns.length" class="space-y-4">
+      <h2 class="text-sm font-semibold uppercase tracking-wide text-gray-500 dark:text-gray-400">
+        Active runs
+      </h2>
+
+      <Card
+        v-for="run in activeRuns"
+        :key="run.runId"
+        padding="md"
+      >
+        <div class="flex flex-wrap items-start justify-between gap-4">
+          <div class="min-w-0 flex-1">
+            <div class="flex flex-wrap items-center gap-2">
+              <h3 class="text-base font-semibold text-gray-900 dark:text-white">
+                {{ run.scenarioName }}
+              </h3>
+              <Badge :variant="runStatusVariant(run.status)" size="xs">
+                {{ runStatusLabel(run.status) }}
+              </Badge>
+              <span
+                class="inline-flex items-center rounded-full bg-blue-100 px-2 py-0.5 text-xs font-medium text-blue-800 dark:bg-blue-900/30 dark:text-blue-300"
+              >
+                {{ formatSpeedBadge(run.speed) }}
+              </span>
+            </div>
+
+            <p class="mt-1 text-sm text-gray-600 dark:text-gray-400">
+              <template v-if="patientLink(run)">
+                <RouterLink
+                  :to="patientLink(run)"
+                  class="font-medium text-blue-600 hover:underline dark:text-blue-400"
+                >
+                  {{ run.patientDisplayName || 'Open patient' }}
+                </RouterLink>
+              </template>
+              <template v-else>
+                {{ run.patientDisplayName || 'Patient pending…' }}
+              </template>
+            </p>
+          </div>
+
+          <div class="shrink-0">
+            <template v-if="confirmStopId === run.runId">
+              <div class="flex flex-col items-end gap-2">
+                <p class="max-w-xs text-right text-xs text-gray-500 dark:text-gray-400">
+                  Stopping leaves the patient on the ward.
+                </p>
+                <div class="flex gap-2">
+                  <Button size="sm" variant="secondary" @click="cancelStop">
+                    Cancel
+                  </Button>
+                  <Button
+                    size="sm"
+                    variant="danger"
+                    :disabled="stoppingId === run.runId"
+                    @click="confirmStop(run.runId)"
+                  >
+                    Confirm stop
+                  </Button>
+                </div>
+              </div>
+            </template>
+            <Button
+              v-else
+              size="sm"
+              variant="danger"
+              :disabled="run._optimistic || stoppingId === run.runId"
+              @click="requestStop(run.runId)"
+            >
+              Stop
+            </Button>
+          </div>
+        </div>
+
+        <div class="mt-4">
+          <div class="mb-1 flex justify-between text-xs text-gray-500 dark:text-gray-400">
+            <span>{{ formatSimClock(run.lastOffsetMinutes, run.totalOffsetMinutes) }}</span>
+            <span>{{ Math.round(run.progressPercent ?? 0) }}%</span>
+          </div>
+          <div
+            class="h-2 overflow-hidden rounded-full bg-gray-100 dark:bg-gray-800"
+            role="progressbar"
+            :aria-valuenow="Math.round(run.progressPercent ?? 0)"
+            aria-valuemin="0"
+            aria-valuemax="100"
+          >
+            <div
+              class="h-full rounded-full bg-blue-600 transition-all dark:bg-blue-500"
+              :style="{ width: progressWidth(run) }"
+            />
+          </div>
+          <p class="mt-1 text-xs text-gray-500 dark:text-gray-400">
+            Wall clock {{ formatElapsedReal(run.elapsedRealSeconds) }}
+          </p>
+        </div>
+
+        <dl class="mt-4 grid grid-cols-3 gap-4 text-sm">
+          <div>
+            <dt class="text-gray-500 dark:text-gray-400">Observations</dt>
+            <dd class="mt-0.5 font-semibold text-gray-900 dark:text-white">
+              {{ run.observationsSent ?? 0 }}
+            </dd>
+          </div>
+          <div>
+            <dt class="text-gray-500 dark:text-gray-400">Medications</dt>
+            <dd class="mt-0.5 font-semibold text-gray-900 dark:text-white">
+              {{ run.medicationsSent ?? 0 }}
+            </dd>
+          </div>
+          <div>
+            <dt class="text-gray-500 dark:text-gray-400">Orders</dt>
+            <dd class="mt-0.5 font-semibold text-gray-900 dark:text-white">
+              {{ run.ordersPlaced ?? 0 }}
+            </dd>
+          </div>
+        </dl>
+
+        <p
+          v-if="run.status === 'FAILED' && run.failureReason"
+          class="mt-4 rounded-lg bg-red-50 px-3 py-2 text-sm text-red-700 dark:bg-red-950/40 dark:text-red-300"
+          role="alert"
+        >
+          {{ run.failureReason }}
+        </p>
+      </Card>
+    </div>
+
+    <div v-if="recentRuns.length">
+      <h2 class="mb-3 text-sm font-semibold uppercase tracking-wide text-gray-500 dark:text-gray-400">
+        Recent runs
+      </h2>
+      <div class="overflow-x-auto rounded-lg border border-gray-200 dark:border-gray-700">
+        <table class="min-w-full divide-y divide-gray-200 text-sm dark:divide-gray-700">
+          <thead class="bg-gray-50 dark:bg-gray-900">
+            <tr>
+              <th class="px-4 py-3 text-left font-medium text-gray-500 dark:text-gray-400">Scenario</th>
+              <th class="px-4 py-3 text-left font-medium text-gray-500 dark:text-gray-400">Status</th>
+              <th class="px-4 py-3 text-left font-medium text-gray-500 dark:text-gray-400">Duration</th>
+              <th class="px-4 py-3 text-left font-medium text-gray-500 dark:text-gray-400">Counters</th>
+              <th class="px-4 py-3 text-left font-medium text-gray-500 dark:text-gray-400">Patient</th>
+            </tr>
+          </thead>
+          <tbody class="divide-y divide-gray-200 bg-white dark:divide-gray-700 dark:bg-gray-900">
+            <tr
+              v-for="run in recentRuns"
+              :key="run.runId"
+              :class="run.status === 'FAILED' ? 'bg-red-50/50 dark:bg-red-950/20' : ''"
+            >
+              <td class="px-4 py-3 text-gray-900 dark:text-white">
+                {{ run.scenarioName }}
+                <p
+                  v-if="run.status === 'FAILED' && run.failureReason"
+                  class="mt-1 text-xs text-red-600 dark:text-red-400"
+                >
+                  {{ run.failureReason }}
+                </p>
+              </td>
+              <td class="px-4 py-3">
+                <Badge :variant="runStatusVariant(run.status)" size="xs">
+                  {{ runStatusLabel(run.status) }}
+                </Badge>
+              </td>
+              <td class="whitespace-nowrap px-4 py-3 text-gray-600 dark:text-gray-400">
+                {{ formatElapsedReal(run.elapsedRealSeconds) }}
+                <span class="text-gray-400">·</span>
+                {{ formatSpeedBadge(run.speed) }}
+              </td>
+              <td class="whitespace-nowrap px-4 py-3 text-gray-600 dark:text-gray-400">
+                {{ run.observationsSent ?? 0 }} obs ·
+                {{ run.medicationsSent ?? 0 }} med ·
+                {{ run.ordersPlaced ?? 0 }} ord
+              </td>
+              <td class="px-4 py-3">
+                <RouterLink
+                  v-if="patientLink(run)"
+                  :to="patientLink(run)"
+                  class="font-medium text-blue-600 hover:underline dark:text-blue-400"
+                >
+                  {{ run.patientDisplayName || 'Open' }}
+                </RouterLink>
+                <span v-else class="text-gray-400">—</span>
+              </td>
+            </tr>
+          </tbody>
+        </table>
+      </div>
+    </div>
+  </div>
+</template>
diff --git a/vigilcare-dashboard/src/components/ward/PatientCard.vue b/vigilcare-dashboard/src/components/ward/PatientCard.vue
index 7b67166..44633f6 100644
--- a/vigilcare-dashboard/src/components/ward/PatientCard.vue
+++ b/vigilcare-dashboard/src/components/ward/PatientCard.vue
@@ -9,6 +9,7 @@ import {
   patientRoom,
   stalenessClass,
 } from '@/composables/wardFormat'
+import { isSimulatedPatient } from '@/api/normalize'
 
 const props = defineProps({ patient: { type: Object, required: true } })
 
@@ -23,8 +24,10 @@ const vitalsStaleness = computed(() =>
   observationStaleness(props.patient.lastObservationAt, props.patient.status),
 )
 
+const simulated = computed(() => isSimulatedPatient(props.patient))
+
 const cardLabel = computed(() =>
-  `Patient ${props.patient.firstName} ${props.patient.lastName}, room ${patientRoom(props.patient)}`,
+  `Patient ${props.patient.firstName} ${props.patient.lastName}, room ${patientRoom(props.patient)}${simulated.value ? ', simulated' : ''}`,
 )
 
 const emit = defineEmits(['activate'])
@@ -53,6 +56,13 @@ function onKeydown(event) {
             Room {{ patientRoom(patient) }}
           </span>
           <Badge v-if="patient.sepsisActive" variant="critical" size="xs">Sepsis</Badge>
+          <span
+            v-if="simulated"
+            class="inline-flex items-center rounded px-1.5 py-0.5 text-[10px] font-bold uppercase tracking-wide bg-amber-100 text-amber-900 dark:bg-amber-900/40 dark:text-amber-200"
+            title="Simulated patient"
+          >
+            SIM
+          </span>
         </div>
         <h3 class="mt-2 truncate text-base font-semibold text-gray-900 dark:text-white">
           {{ patient.firstName }} {{ patient.lastName }}
diff --git a/vigilcare-dashboard/src/components/ward/PatientRow.vue b/vigilcare-dashboard/src/components/ward/PatientRow.vue
index 0b54c5e..8ef86a6 100644
--- a/vigilcare-dashboard/src/components/ward/PatientRow.vue
+++ b/vigilcare-dashboard/src/components/ward/PatientRow.vue
@@ -10,6 +10,7 @@ import {
   stalenessClass,
 } from '@/composables/wardFormat'
 import { formatDepartment } from '@/composables/sepsisFormat'
+import { isSimulatedPatient } from '@/api/normalize'
 
 const props = defineProps({
   patient: { type: Object, required: true },
@@ -18,6 +19,8 @@ const props = defineProps({
 
 const emit = defineEmits(['activate'])
 
+const simulated = computed(() => isSimulatedPatient(props.patient))
+
 const riskVariant = computed(() => {
   const score = props.patient.news2Score ?? 0
   if (score >= 7) return 'critical'
@@ -45,7 +48,7 @@ const vitalsStaleness = computed(() =>
 )
 
 const rowLabel = computed(() =>
-  `Patient ${props.patient.firstName} ${props.patient.lastName}, room ${patientRoom(props.patient)}`,
+  `Patient ${props.patient.firstName} ${props.patient.lastName}, room ${patientRoom(props.patient)}${simulated.value ? ', simulated' : ''}`,
 )
 
 function onKeydown(event) {
@@ -68,8 +71,17 @@ function onKeydown(event) {
       {{ patientRoom(patient) }}
     </td>
     <td class="px-4 py-4">
-      <div class="text-sm font-medium text-gray-900 dark:text-white">
-        {{ patient.firstName }} {{ patient.lastName }}
+      <div class="flex flex-wrap items-center gap-2">
+        <div class="text-sm font-medium text-gray-900 dark:text-white">
+          {{ patient.firstName }} {{ patient.lastName }}
+        </div>
+        <span
+          v-if="simulated"
+          class="inline-flex items-center rounded px-1.5 py-0.5 text-[10px] font-bold uppercase tracking-wide bg-amber-100 text-amber-900 dark:bg-amber-900/40 dark:text-amber-200"
+          title="Simulated patient"
+        >
+          SIM
+        </span>
       </div>
       <div class="text-xs text-gray-500 dark:text-gray-400">{{ patient.mrn }}</div>
     </td>
diff --git a/vigilcare-dashboard/src/composables/roleAccess.js b/vigilcare-dashboard/src/composables/roleAccess.js
index 2963f01..0e900eb 100644
--- a/vigilcare-dashboard/src/composables/roleAccess.js
+++ b/vigilcare-dashboard/src/composables/roleAccess.js
@@ -1,6 +1,7 @@
 import { computed } from 'vue'
 import { storeToRefs } from 'pinia'
 import { useAuthStore } from '@/stores/auth'
+import { useSimulationStore } from '@/stores/simulation'
 
 const CLINICAL_ROLES = ['NURSE', 'PHYSICIAN', 'ADMIN']
 
@@ -10,6 +11,19 @@ export const OPS_NAV_LINK = {
   icon: 'ops',
 }
 
+export const SIMULATION_NAV_LINK = {
+  to: '/simulation',
+  label: 'Simulation',
+  icon: 'simulation',
+  roles: CLINICAL_ROLES,
+}
+
+/** Shorter label for the bottom bar at ~360 px. */
+export const SIMULATION_MOBILE_NAV_LINK = {
+  ...SIMULATION_NAV_LINK,
+  label: 'Sim',
+}
+
 export const MAIN_NAV_LINKS = [
   { to: '/ward', label: 'Virtual Ward', icon: 'ward', roles: CLINICAL_ROLES },
   { to: '/departments', label: 'Departments', icon: 'departments', roles: CLINICAL_ROLES },
@@ -37,6 +51,8 @@ export const MOBILE_NAV_LINKS = [
   { to: '/admin/reconciliation', label: 'Quality', icon: 'reconciliation', roles: CLINICAL_ROLES },
 ]
 
+const QUALITY_MOBILE_PATH = '/admin/reconciliation'
+
 export function isDashboardRole(role) {
   return CLINICAL_ROLES.includes(role)
 }
@@ -60,6 +76,7 @@ export function filterNavLinks(links, role) {
 
 export function useRoleAccess() {
   const auth = useAuthStore()
+  const simulation = useSimulationStore()
   const { role } = storeToRefs(auth)
 
   const isNurse = computed(() => role.value === 'NURSE')
@@ -69,11 +86,30 @@ export function useRoleAccess() {
 
   const mainNavLinks = computed(() => {
     const links = filterNavLinks(MAIN_NAV_LINKS, role.value)
+    if (simulation.enabled && CLINICAL_ROLES.includes(role.value)) {
+      links.push(SIMULATION_NAV_LINK)
+    }
     if (canAccessOps(role.value)) links.push(OPS_NAV_LINK)
     return links
   })
   const adminNavLinks = computed(() => filterNavLinks(ADMIN_NAV_LINKS, role.value))
-  const mobileNavLinks = computed(() => filterNavLinks(MOBILE_NAV_LINKS, role.value))
+
+  // Keep the bottom bar usable at ~360 px: when simulation is on, Quality moves to overflow.
+  const mobileNavLinks = computed(() => {
+    const links = filterNavLinks(MOBILE_NAV_LINKS, role.value)
+    if (!simulation.enabled || !CLINICAL_ROLES.includes(role.value)) return links
+    return [
+      ...links.filter(l => l.to !== QUALITY_MOBILE_PATH),
+      SIMULATION_MOBILE_NAV_LINK,
+    ]
+  })
+
+  const mobileOverflowLinks = computed(() => {
+    if (!simulation.enabled || !CLINICAL_ROLES.includes(role.value)) return []
+    return filterNavLinks(MOBILE_NAV_LINKS, role.value)
+      .filter(l => l.to === QUALITY_MOBILE_PATH)
+  })
+
   const showAdminSection = computed(() => adminNavLinks.value.length > 0)
 
   const nursePatientLayout = computed(() => isNurse.value)
@@ -88,6 +124,7 @@ export function useRoleAccess() {
     mainNavLinks,
     adminNavLinks,
     mobileNavLinks,
+    mobileOverflowLinks,
     showAdminSection,
     nursePatientLayout,
     physicianPatientLayout,
diff --git a/vigilcare-dashboard/src/composables/simulationFormat.js b/vigilcare-dashboard/src/composables/simulationFormat.js
new file mode 100644
index 0000000..7269655
--- /dev/null
+++ b/vigilcare-dashboard/src/composables/simulationFormat.js
@@ -0,0 +1,98 @@
+/** Formats a minute count as a short clinician-facing duration. */
+export function formatDurationMinutes(minutes) {
+  if (minutes == null || Number.isNaN(Number(minutes))) return '—'
+  const total = Math.max(0, Number(minutes))
+  if (total < 60) {
+    const m = Math.round(total)
+    return `${m} minute${m === 1 ? '' : 's'}`
+  }
+  const hoursExact = total / 60
+  if (Math.abs(hoursExact - Math.round(hoursExact)) < 0.05) {
+    const h = Math.round(hoursExact)
+    return `${h} hour${h === 1 ? '' : 's'}`
+  }
+  const h = Math.floor(total / 60)
+  const m = Math.round(total % 60)
+  if (m === 0) return `${h} hour${h === 1 ? '' : 's'}`
+  return `${h}h ${m}m`
+}
+
+/** Scenario duration pill: "8 hours of monitoring". */
+export function formatMonitoringDuration(durationMinutes) {
+  return `${formatDurationMinutes(durationMinutes)} of monitoring`
+}
+
+/** Wall-clock time for a scenario at a given speed multiplier. */
+export function formatWallClockForSpeed(durationMinutes, speed) {
+  if (durationMinutes == null || !speed) return '—'
+  return formatDurationMinutes(Number(durationMinutes) / Number(speed))
+}
+
+/** Simulated clock: "03:20 of 08:00 elapsed". */
+export function formatSimClock(lastOffsetMinutes, totalOffsetMinutes) {
+  const fmt = (mins) => {
+    const total = Math.max(0, Math.floor(Number(mins) || 0))
+    const h = Math.floor(total / 60)
+    const m = total % 60
+    return `${String(h).padStart(2, '0')}:${String(m).padStart(2, '0')}`
+  }
+  return `${fmt(lastOffsetMinutes)} of ${fmt(totalOffsetMinutes)} elapsed`
+}
+
+/** Wall-clock elapsed from elapsedRealSeconds. */
+export function formatElapsedReal(seconds) {
+  const s = Math.max(0, Math.floor(Number(seconds) || 0))
+  const m = Math.floor(s / 60)
+  const rem = s % 60
+  if (m >= 60) {
+    const h = Math.floor(m / 60)
+    return `${h}h ${m % 60}m`
+  }
+  return `${m}:${String(rem).padStart(2, '0')}`
+}
+
+export function formatSpeedBadge(speed) {
+  if (speed == null) return '—'
+  return `${speed}×`
+}
+
+export function runStatusLabel(status) {
+  const map = {
+    PENDING: 'Pending',
+    RUNNING: 'Running',
+    COMPLETED: 'Completed',
+    CANCELLED: 'Cancelled',
+    FAILED: 'Failed',
+  }
+  return map[status] ?? status ?? '—'
+}
+
+export function runStatusVariant(status) {
+  if (status === 'FAILED') return 'critical'
+  if (status === 'CANCELLED') return 'warning'
+  if (status === 'RUNNING') return 'success'
+  if (status === 'COMPLETED') return 'success'
+  return 'info'
+}
+
+const TAG_CHIP_CLASS = {
+  sepsis: 'bg-red-100 text-red-800 dark:bg-red-900/30 dark:text-red-300',
+  control: 'bg-emerald-100 text-emerald-800 dark:bg-emerald-900/30 dark:text-emerald-300',
+  'mimic-iv': 'bg-violet-100 text-violet-800 dark:bg-violet-900/30 dark:text-violet-300',
+  'real-data': 'bg-violet-100 text-violet-800 dark:bg-violet-900/30 dark:text-violet-300',
+  stable: 'bg-sky-100 text-sky-800 dark:bg-sky-900/30 dark:text-sky-300',
+  baseline: 'bg-sky-100 text-sky-800 dark:bg-sky-900/30 dark:text-sky-300',
+}
+
+export function tagChipClass(tag) {
+  return TAG_CHIP_CLASS[tag]
+    ?? 'bg-gray-100 text-gray-700 dark:bg-gray-800 dark:text-gray-300'
+}
+
+export function isControlTag(tag) {
+  return tag === 'control'
+}
+
+export function isRealDataTag(tag) {
+  return tag === 'real-data' || tag === 'mimic-iv'
+}
diff --git a/vigilcare-dashboard/src/composables/useSimulationAvailable.js b/vigilcare-dashboard/src/composables/useSimulationAvailable.js
new file mode 100644
index 0000000..933aa2f
--- /dev/null
+++ b/vigilcare-dashboard/src/composables/useSimulationAvailable.js
@@ -0,0 +1,25 @@
+import { computed } from 'vue'
+import { useAuthStore } from '@/stores/auth'
+import { useSimulationStore } from '@/stores/simulation'
+
+/**
+ * Feature-detects in-app simulation via GET /api/v1/simulation/config.
+ * Fail-closed: any error leaves simulationStore.enabled = false.
+ */
+export function useSimulationAvailable() {
+  const auth = useAuthStore()
+  const simulation = useSimulationStore()
+
+  const available = computed(() => simulation.enabled)
+
+  async function detect() {
+    if (!auth.isAuthenticated) {
+      simulation.enabled = false
+      return false
+    }
+    await simulation.loadConfig()
+    return simulation.enabled
+  }
+
+  return { available, detect }
+}
diff --git a/vigilcare-dashboard/src/router/index.js b/vigilcare-dashboard/src/router/index.js
index 1862605..127026f 100644
--- a/vigilcare-dashboard/src/router/index.js
+++ b/vigilcare-dashboard/src/router/index.js
@@ -1,5 +1,6 @@
 import { createRouter, createWebHistory } from 'vue-router'
 import { useAuthStore } from '@/stores/auth'
+import { useSimulationStore } from '@/stores/simulation'
 import { canAccessOps, defaultRouteForRole, isDashboardRole, roleCanAccessRoute } from '@/composables/roleAccess'
 
 const CLINICAL = ['NURSE', 'PHYSICIAN', 'ADMIN']
@@ -45,6 +46,12 @@ const routes = [
     component: () => import('@/views/SepsisBoardView.vue'),
     meta: { title: 'Sepsis Bundle Board', layout: 'default', allowedRoles: CLINICAL },
   },
+  {
+    path: '/simulation',
+    name: 'SimulationControl',
+    component: () => import('@/views/SimulationControlView.vue'),
+    meta: { title: 'Simulation', layout: 'default', allowedRoles: CLINICAL, requiresSimulation: true },
+  },
   {
     path: '/admin/thresholds',
     name: 'ThresholdManagement',
@@ -92,7 +99,7 @@ const router = createRouter({
   routes,
 })
 
-router.beforeEach((to) => {
+router.beforeEach(async (to) => {
   document.title = `${to.meta.title ?? 'VigilCare'} — VigilCare`
 
   const auth = useAuthStore()
@@ -108,6 +115,15 @@ router.beforeEach((to) => {
   if (!to.meta.public && auth.isAuthenticated && !roleCanAccessRoute(auth.role, to.meta)) {
     return { path: defaultRouteForRole(auth.role) }
   }
+  if (to.meta.requiresSimulation && auth.isAuthenticated) {
+    const simulation = useSimulationStore()
+    if (!simulation.enabled) {
+      await simulation.loadConfig()
+    }
+    if (!simulation.enabled) {
+      return { path: '/ward' }
+    }
+  }
 })
 
 export default router
diff --git a/vigilcare-dashboard/src/stores/simulation.js b/vigilcare-dashboard/src/stores/simulation.js
new file mode 100644
index 0000000..393979e
--- /dev/null
+++ b/vigilcare-dashboard/src/stores/simulation.js
@@ -0,0 +1,237 @@
+import { defineStore } from 'pinia'
+import { ref, computed, watch } from 'vue'
+import {
+  fetchSimulationConfig,
+  fetchScenarios,
+  fetchRuns,
+  startRun,
+  stopRun,
+} from '@/api/simulation'
+import { useWardStore } from '@/stores/ward'
+
+const ACTIVE_STATUSES = new Set(['PENDING', 'RUNNING'])
+const POLL_INTERVAL_MS = 2_000
+
+function isActiveStatus(status) {
+  return ACTIVE_STATUSES.has(status)
+}
+
+export const useSimulationStore = defineStore('simulation', () => {
+  const enabled = ref(false)
+  const maxSpeed = ref(null)
+  const maxConcurrentRuns = ref(0)
+  const scenarios = ref([])
+  const runs = ref([])
+  const loading = ref(false)
+  const error = ref(null)
+  const starting = ref(false)
+
+  let pollTimer = null
+  let stopActiveWatch = null
+
+  const activeRuns = computed(() =>
+    runs.value.filter(r => isActiveStatus(r.status)),
+  )
+
+  const recentRuns = computed(() =>
+    runs.value
+      .filter(r => !isActiveStatus(r.status))
+      .slice()
+      .sort((a, b) => new Date(b.startedAt) - new Date(a.startedAt))
+      .slice(0, 10),
+  )
+
+  const hasActiveRun = computed(() => activeRuns.value.length > 0)
+
+  const atConcurrencyLimit = computed(() =>
+    activeRuns.value.length >= maxConcurrentRuns.value,
+  )
+
+  const scenariosByTag = computed(() => {
+    const groups = {}
+    for (const scenario of scenarios.value) {
+      for (const tag of scenario.tags ?? []) {
+        if (!groups[tag]) groups[tag] = []
+        groups[tag].push(scenario)
+      }
+    }
+    return groups
+  })
+
+  function clearError() {
+    error.value = null
+  }
+
+  async function loadConfig() {
+    try {
+      const data = await fetchSimulationConfig()
+      enabled.value = !!data?.enabled
+      maxSpeed.value = data?.maxSpeed ?? null
+      maxConcurrentRuns.value = data?.maxConcurrentRuns ?? 0
+    } catch {
+      // Fail closed — never surface simulation controls on a broken probe.
+      enabled.value = false
+      maxSpeed.value = null
+      maxConcurrentRuns.value = 0
+    }
+  }
+
+  async function loadScenarios() {
+    loading.value = true
+    error.value = null
+    try {
+      const data = await fetchScenarios()
+      scenarios.value = Array.isArray(data) ? data : []
+    } catch (e) {
+      error.value = e.message
+      scenarios.value = []
+    } finally {
+      loading.value = false
+    }
+  }
+
+  function detectNewlyRunning(previousById, nextRuns) {
+    return nextRuns.some((run) => {
+      if (run.status !== 'RUNNING') return false
+      const prev = previousById.get(run.runId)
+      return prev !== 'RUNNING'
+    })
+  }
+
+  async function refreshRuns() {
+    try {
+      const previousById = new Map(runs.value.map(r => [r.runId, r.status]))
+      const data = await fetchRuns()
+      const next = Array.isArray(data) ? data : []
+
+      // Keep optimistic placeholders until the server echoes a real run.
+      const optimistic = runs.value.filter(r => r._optimistic)
+      const serverIds = new Set(next.map(r => r.runId))
+      const stillPending = optimistic.filter(r => !serverIds.has(r.runId))
+      runs.value = [...stillPending, ...next]
+
+      if (detectNewlyRunning(previousById, next)) {
+        useWardStore().loadEncounters()
+      }
+    } catch (e) {
+      error.value = e.message
+    }
+  }
+
+  async function start(scenarioId, speed) {
+    starting.value = true
+    error.value = null
+
+    const scenario = scenarios.value.find(s => s.id === scenarioId)
+    const placeholderId = `optimistic-${Date.now()}`
+    const placeholder = {
+      runId: placeholderId,
+      scenarioId,
+      scenarioName: scenario?.name ?? scenarioId,
+      status: 'PENDING',
+      speed,
+      patientId: null,
+      encounterId: null,
+      patientDisplayName: '',
+      startedAt: new Date().toISOString(),
+      elapsedRealSeconds: 0,
+      lastOffsetMinutes: 0,
+      totalOffsetMinutes: scenario?.durationMinutes ?? 0,
+      progressPercent: 0,
+      observationsSent: 0,
+      medicationsSent: 0,
+      ordersPlaced: 0,
+      failureReason: null,
+      _optimistic: true,
+    }
+    runs.value = [placeholder, ...runs.value]
+
+    try {
+      const run = await startRun({ scenarioId, speed })
+      runs.value = [
+        run,
+        ...runs.value.filter(r => r.runId !== placeholderId && r.runId !== run.runId),
+      ]
+      if (run.status === 'RUNNING') {
+        useWardStore().loadEncounters()
+      }
+      return run
+    } catch (e) {
+      runs.value = runs.value.filter(r => r.runId !== placeholderId)
+      error.value = e.message
+      throw e
+    } finally {
+      starting.value = false
+    }
+  }
+
+  async function stop(runId) {
+    error.value = null
+    try {
+      const run = await stopRun(runId)
+      const idx = runs.value.findIndex(r => r.runId === runId)
+      if (idx >= 0) {
+        runs.value[idx] = run
+      } else {
+        runs.value = [run, ...runs.value]
+      }
+      return run
+    } catch (e) {
+      error.value = e.message
+      throw e
+    }
+  }
+
+  function syncPollTimer(active) {
+    if (active) {
+      if (!pollTimer) {
+        pollTimer = setInterval(() => {
+          refreshRuns()
+        }, POLL_INTERVAL_MS)
+      }
+    } else if (pollTimer) {
+      clearInterval(pollTimer)
+      pollTimer = null
+    }
+  }
+
+  /** View-owned lifecycle: start watching active runs and poll while any are in flight. */
+  function startPolling() {
+    if (stopActiveWatch) return
+    stopActiveWatch = watch(hasActiveRun, (active) => {
+      syncPollTimer(active)
+    }, { immediate: true })
+  }
+
+  function stopPolling() {
+    if (stopActiveWatch) {
+      stopActiveWatch()
+      stopActiveWatch = null
+    }
+    syncPollTimer(false)
+  }
+
+  return {
+    enabled,
+    maxSpeed,
+    maxConcurrentRuns,
+    scenarios,
+    runs,
+    loading,
+    error,
+    starting,
+    activeRuns,
+    recentRuns,
+    hasActiveRun,
+    atConcurrencyLimit,
+    scenariosByTag,
+    clearError,
+    loadConfig,
+    loadScenarios,
+    refreshRuns,
+    start,
+    stop,
+    startPolling,
+    stopPolling,
+  }
+})
diff --git a/vigilcare-dashboard/src/views/SimulationControlView.vue b/vigilcare-dashboard/src/views/SimulationControlView.vue
new file mode 100644
index 0000000..e23536e
--- /dev/null
+++ b/vigilcare-dashboard/src/views/SimulationControlView.vue
@@ -0,0 +1,297 @@
+<script setup>
+import { computed, onMounted, onBeforeUnmount, ref } from 'vue'
+import { storeToRefs } from 'pinia'
+import { useSimulationStore } from '@/stores/simulation'
+import ScenarioCard from '@/components/simulation/ScenarioCard.vue'
+import SimulationRunPanel from '@/components/simulation/SimulationRunPanel.vue'
+import Button from '@/components/ui/Button.vue'
+import Skeleton from '@/components/ui/Skeleton.vue'
+import EmptyState from '@/components/ui/EmptyState.vue'
+import { formatWallClockForSpeed } from '@/composables/simulationFormat'
+
+const SPEED_OPTIONS = [
+  { label: 'Real time', multiplier: 1 },
+  { label: 'Fast', multiplier: 60 },
+  { label: 'Very fast', multiplier: 240 },
+  { label: 'Instant', multiplier: 600 },
+]
+
+const simulationStore = useSimulationStore()
+const {
+  scenarios,
+  activeRuns,
+  recentRuns,
+  loading,
+  error,
+  starting,
+  atConcurrencyLimit,
+  maxConcurrentRuns,
+  maxSpeed,
+} = storeToRefs(simulationStore)
+
+const selectedScenarioId = ref(null)
+const searchQuery = ref('')
+const activeTag = ref(null)
+const speed = ref(60)
+const stoppingId = ref(null)
+
+const availableSpeeds = computed(() => {
+  const cap = maxSpeed.value
+  return SPEED_OPTIONS.map((opt) => {
+    const multiplier = cap != null ? Math.min(opt.multiplier, cap) : opt.multiplier
+    return { ...opt, multiplier }
+  }).filter((opt, index, arr) =>
+    // Drop Instant (or any option) if a lower option already uses the same capped value
+    index === arr.findIndex(o => o.multiplier === opt.multiplier),
+  )
+})
+
+const selectedScenario = computed(() =>
+  scenarios.value.find(s => s.id === selectedScenarioId.value)
+    ?? filteredScenarios.value[0]
+    ?? null,
+)
+
+const allTags = computed(() => {
+  const set = new Set()
+  for (const s of scenarios.value) {
+    for (const tag of s.tags ?? []) set.add(tag)
+  }
+  return [...set].sort()
+})
+
+const filteredScenarios = computed(() => {
+  const q = searchQuery.value.trim().toLowerCase()
+  return scenarios.value.filter((s) => {
+    if (activeTag.value && !(s.tags ?? []).includes(activeTag.value)) return false
+    if (!q) return true
+    const haystack = [
+      s.name,
+      s.description,
+      s.id,
+      s.department,
+      ...(s.tags ?? []),
+    ].filter(Boolean).join(' ').toLowerCase()
+    return haystack.includes(q)
+  })
+})
+
+function wallClockFor(multiplier) {
+  if (!selectedScenario.value?.durationMinutes) return null
+  return formatWallClockForSpeed(selectedScenario.value.durationMinutes, multiplier)
+}
+
+function concurrencyErrorMessage(raw) {
+  const n = maxConcurrentRuns.value
+  if (/concurrent|concurrency|409/i.test(raw ?? '')) {
+    return n > 0
+      ? `Concurrency limit reached — at most ${n} simulation run${n === 1 ? '' : 's'} can run at once. Stop an active run first.`
+      : 'Concurrency limit reached. Stop an active run first.'
+  }
+  return raw
+}
+
+async function onStart(scenarioId) {
+  selectedScenarioId.value = scenarioId
+  try {
+    await simulationStore.start(scenarioId, speed.value)
+  } catch (e) {
+    simulationStore.error = concurrencyErrorMessage(e.message)
+  }
+}
+
+async function onStop(runId) {
+  stoppingId.value = runId
+  try {
+    await simulationStore.stop(runId)
+  } catch {
+    // error already on store
+  } finally {
+    stoppingId.value = null
+  }
+}
+
+function selectScenario(id) {
+  selectedScenarioId.value = id
+}
+
+function toggleTag(tag) {
+  activeTag.value = activeTag.value === tag ? null : tag
+}
+
+onMounted(async () => {
+  await Promise.all([
+    simulationStore.loadScenarios(),
+    simulationStore.refreshRuns(),
+  ])
+  simulationStore.startPolling()
+  if (!selectedScenarioId.value && scenarios.value[0]) {
+    selectedScenarioId.value = scenarios.value[0].id
+  }
+  if (!availableSpeeds.value.some(o => o.multiplier === speed.value)) {
+    const preferred = availableSpeeds.value.find(o => o.multiplier === 60)
+      ?? availableSpeeds.value[1]
+      ?? availableSpeeds.value[0]
+    if (preferred) speed.value = preferred.multiplier
+  }
+})
+
+onBeforeUnmount(() => {
+  simulationStore.stopPolling()
+})
+</script>
+
+<template>
+  <div class="space-y-8">
+    <div>
+      <h1 class="text-xl font-bold dark:text-white">Simulation</h1>
+      <p class="mt-2 text-sm text-gray-600 dark:text-gray-400">
+        Replay a recorded clinical scenario into this ward. All patients created here are simulated.
+      </p>
+    </div>
+
+    <div
+      v-if="error"
+      role="alert"
+      class="flex items-start justify-between gap-4 rounded-lg border border-red-200 bg-red-50 px-4 py-3 text-sm text-red-800 dark:border-red-800 dark:bg-red-950/40 dark:text-red-200"
+    >
+      <p>{{ error }}</p>
+      <button
+        type="button"
+        class="shrink-0 font-medium underline"
+        @click="simulationStore.clearError()"
+      >
+        Dismiss
+      </button>
+    </div>
+
+    <SimulationRunPanel
+      v-if="activeRuns.length || recentRuns.length"
+      :active-runs="activeRuns"
+      :recent-runs="recentRuns"
+      :stopping-id="stoppingId"
+      @stop="onStop"
+    />
+
+    <section aria-labelledby="sim-speed-heading">
+      <h2
+        id="sim-speed-heading"
+        class="mb-3 text-sm font-semibold uppercase tracking-wide text-gray-500 dark:text-gray-400"
+      >
+        Replay speed
+      </h2>
+      <div
+        class="inline-flex max-w-full flex-wrap rounded-lg border border-gray-200 bg-white p-1 dark:border-gray-700 dark:bg-gray-900"
+        role="group"
+        aria-label="Replay speed"
+      >
+        <button
+          v-for="opt in availableSpeeds"
+          :key="opt.label"
+          type="button"
+          class="min-h-11 rounded-md px-4 py-2 text-left text-sm transition focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-blue-500"
+          :class="speed === opt.multiplier
+            ? 'bg-blue-600 text-white dark:bg-blue-500'
+            : 'text-gray-700 hover:bg-gray-50 dark:text-gray-300 dark:hover:bg-gray-800'"
+          :aria-pressed="speed === opt.multiplier"
+          @click="speed = opt.multiplier"
+        >
+          <span class="font-medium">{{ opt.label }}</span>
+          <span
+            class="mt-0.5 block text-xs"
+            :class="speed === opt.multiplier ? 'text-blue-100' : 'text-gray-500 dark:text-gray-400'"
+          >
+            <template v-if="wallClockFor(opt.multiplier)">
+              {{ wallClockFor(opt.multiplier) }} for selected scenario
+            </template>
+            <template v-else>
+              {{ opt.multiplier }}×
+            </template>
+          </span>
+        </button>
+      </div>
+      <p v-if="selectedScenario" class="mt-2 text-xs text-gray-500 dark:text-gray-400">
+        Durations above use
+        <span class="font-medium text-gray-700 dark:text-gray-300">{{ selectedScenario.name }}</span>
+        ({{ selectedScenario.durationMinutes }} simulated minutes).
+      </p>
+    </section>
+
+    <section aria-labelledby="sim-catalogue-heading">
+      <div class="mb-4 flex flex-wrap items-end justify-between gap-4">
+        <h2
+          id="sim-catalogue-heading"
+          class="text-sm font-semibold uppercase tracking-wide text-gray-500 dark:text-gray-400"
+        >
+          Scenario catalogue
+        </h2>
+      </div>
+
+      <div class="mb-4 space-y-4 rounded-lg border border-gray-200 bg-white p-4 dark:border-gray-700 dark:bg-gray-900">
+        <label class="block">
+          <span class="sr-only">Search scenarios</span>
+          <input
+            v-model="searchQuery"
+            type="search"
+            placeholder="Search scenarios by name, tag, or department…"
+            class="w-full rounded-lg border border-gray-200 bg-white px-4 py-2 text-sm text-gray-900 placeholder:text-gray-400 focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-blue-500 dark:border-gray-700 dark:bg-gray-800 dark:text-gray-100"
+          >
+        </label>
+
+        <div v-if="allTags.length" class="flex flex-wrap items-center gap-2">
+          <Button
+            v-for="tag in allTags"
+            :key="tag"
+            size="sm"
+            :variant="activeTag === tag ? 'primary' : 'secondary'"
+            @click="toggleTag(tag)"
+          >
+            {{ tag }}
+          </Button>
+          <Button
+            v-if="activeTag"
+            size="sm"
+            variant="ghost"
+            @click="activeTag = null"
+          >
+            Clear filter
+          </Button>
+        </div>
+      </div>
+
+      <Skeleton v-if="loading && scenarios.length === 0" :rows="3" />
+
+      <EmptyState
+        v-else-if="scenarios.length === 0"
+        message="No scenarios found. Check that Simulation:ScenarioDirectory is configured and contains scenario JSON files."
+      />
+
+      <EmptyState
+        v-else-if="filteredScenarios.length === 0"
+        message="No scenarios match the current search or tag filter."
+      />
+
+      <div
+        v-else
+        class="grid grid-cols-1 gap-4 md:grid-cols-2 xl:grid-cols-3"
+        role="list"
+      >
+        <div
+          v-for="scenario in filteredScenarios"
+          :key="scenario.id"
+          role="listitem"
+        >
+          <ScenarioCard
+            :scenario="scenario"
+            :selected="selectedScenarioId === scenario.id"
+            :at-concurrency-limit="atConcurrencyLimit"
+            :max-concurrent-runs="maxConcurrentRuns"
+            :starting="starting"
+            @select="selectScenario"
+            @start="onStart"
+          />
+        </div>
+      </div>
+    </section>
+  </div>
+</template>