Objective (1) To determine if, after using the simulation mannequin SimMan in a wilderness “megacode” exercise, participants believe high-tech simulators are an effective tool for learning wilderness medicine skills. (2) To determine if participants believe high-tech simulation mannequins should be used with more or less frequency in future wilderness medicine exercises. Methods After completing a basic training session outlining the capabilities of SimMan and completing a wilderness megacode (defined as a series of progressive conditions that accumulate over time) using SimMan, participants were surveyed to ascertain whether they perceived SimMan to be an effective teaching tool for wilderness medical skills and to determine if they would like SimMan to be used with greater frequency at future wilderness medicine courses. The data were compiled and analyzed using Microsoft Excel. Results Participants found the wilderness SimMan experience to be an effective tool with an average score of 3.15 on a scale where 4 is most effective and 1 is least effective. Participants also desired to see high-tech simulation more frequently in wilderness courses with a score of 3, on a scale where 4 is more frequently and 1 is less frequently. There was little difference in responses based on previous experience with simulation. Conclusions High-tech simulation is an underused tool for wilderness medicine education. Currently, several barriers exist to its implementation in wilderness medicine. Participants in wilderness courses feel it is an effective tool and would like to see it used more frequently.