Although simulation is typically considered as relevant and highly applicable, in reality the use of simulation is limited. Many organizations have tried to use simulation to analyze their business processes at some stage. However, few are using simulation in a structured and effective manner. This may be caused by a lack of training and limitations of existing tools, but in this paper we will argue that there are also several additional and more fundamental problems. First of all, the focus is mainly on design while managers would also like to use simulation for operational decision making (solving the concrete problem at hand rather than some abstract future problem). Second, there is limited support for using existing artifacts such as h...