Abstract: Radiation-free simulator systems and methods for simulating fluoroscopic procedures or other medical procedures are provided. Simulator systems, methods and computer readable media are provided, comprising a physical, anatomical model of an anatomy of interest, at least one or more video camera positioned proximate the anatomical model and configured to transmit a live video feed or image of the anatomical model, a computer configured for combining a recorded video feed or 2D rendering of a 3D dataset of an actual anatomical area of interest with the live video feed or image of the anatomical model to form a composite image or video, and a display configured to display the composite image or video. A simulated fluoroscopic procedure can be performed on the anatomical model without radiation, and the simulated fluoroscopic procedure is viewable on the display.