This chapter underscores the pivotal role of learning contracts in healthcare simulation, emphasizing their significance in cultivating trust and respect between faculty and participants. Learning contracts serve as agreements outlining simulation expectations, goals, roles, and rules, fostering a safe and supportive learning environment. By providing clarity on learning objectives, specific assessment criteria, and acknowledging the simulated nature of the environment, educators can enhance engagement, reduce stress, and promote effective communication. The chapter also highlights the vital contribution of simulation programs in supporting learning contracts, emphasizing elements such as scheduling, process orientation, confidentiality, and grading policies. Overall, learning contracts prove to be invaluable tools, aligning educators, learners, and simulation programs in achieving meaningful engagement and learning outcomes in healthcare simulation.