Abstract: Systems and methods for tracking an object's position and orientation within a room using patterns projected onto an interior surface of the room, such as the ceiling. Systems include at least one optical position sensitive device embedded in the object to detect relative changes in the projected pattern as the object's position and/or orientation is changed. In particular systems, the pattern includes a plurality of beacons projected by one or more steerable lasers. Projected beacons may be steered automatically to accommodate a variety of room topologies. Additional optical position sensitive devices may be disposed in known physical positions relative to the projected pattern to view either or both the projected pattern and the object. A subset of object positional data may be derived from a video camera viewing the object while another subset of object positional data is derived from the projected pattern.