Real time man-in-the-loop simulation can be used in a variety of research, testing and training roles where safety, efficiency and/or economy are important. Simulation can allow complete control and uniformity over driving conditions and permit analysis of a range of vehicle and driver behavior variables. Simulation complexity and fidelity requirements will vary depending on application requirements. This paper reviews past and current driving simulation development efforts and applications. Simulation requirements are assessed relative to various applications, including vehicle handling, driver behavior, training, licensing and fitness for duty testing.