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Levy’s paper entitled, Psychometric opportunities and challenges for simulation-based assessment: A conceptualization through task design, highlights several psychometric opportunities and challenges for simulation-based assessments, and describes how a task design framework can aid in resolving those challenges and capitalizing on those opportunities. Examples from both simulation-based and traditional assessments are used to highlight the generality of the issues at hand. The resolutions of these issues in traditional assessment are rarely made explicit and/or are often taken for granted. It is argued that drawing these resolutions out of the shadows may be useful in guiding the design of simulation-based assessments, and arguing for their place alongside traditional assessments.