Utilizing an evolving artificial intelligence (AI) virtual patient that will age with students as they progress throughout the nursing program is an innovative use of simulation. The students are introduced to the AI patient as sophomores where they begin with basic patient interviewing and assessment skills. They revisit the AI patient as juniors and seniors in their medical-surgical courses, where they see the patient aging and developing complex medical conditions. As the AI patient and the student grow together, student competence increases. Students complete an evaluation at the conclusion of each simulation experience.