We had trouble making realistic scenarios with big injury sites and great complexity in communication and decision-making. We had looked at options other than RS, but RS were the only ones who could live up to the quality we wanted and most importantly the way we could finance our payment. RS is a very complex program and can be difficult to get started with, but once you are comfortable with the program there are endless possibilities for many different training scenarios. You can really customize the program to suit your needs. I love the level of realism. It is great that the program is all built up as an open world, this only gives you more opportunities to create the scenarios exactly as you wish. I only want more and more the opportunity to make my own mark on this open world.