The PEARLS blended approach to debriefing originated from a review and synthesis of feedback, debriefing, and educational literature (a complete list of citations which informed PEARLS is available in the 2015 Simulation in Healthcare paper). It has been used and cited broadly. We attempted to make it more user-friendly by using design principles. Many iterations later, we bring you the PEARLS Healthcare Debriefing Tool in association with Academic Medicine. In an effort to disseminate and further improve the Tool, it is available as a free download in English, German (translation by Walter Eppich, Jan Schmutz, and Michaela Kolbe), Spanish (Jose Maria Maestre, Ignacio del Moral, and Demian Szyld), Portugese (Thomaz Bittencourt Couto, Priscilla Hashimoto Cerullo, Paula Dias de Toledo Rodovalho), Chinese (translation by David Li, Qi Li, Yiqun Lin, Ellen Xiao’e Liu, and John Zhong), Arabic (Aida Darweish, Amani Al Rahman, Yousef Almuhanna, and Fatemah Qasem), Japanese version 1 (Takanari Ikeyama, Ichiro Watanabe, Hiroshi Kurosawa, Takashi Shiga, and Kiyoyuki Miyasaka), Japanese version 2 (Eri Sato, Yuka Eto, Sayaka Oikawa, Sarah Kyuragi, Atsushi Nakahira, Toshiyuki Naka, Gen Ouchi, Jannet Lee-Jayaram, and Benjamin W. Berg), Korean (So Yeon Joyce Kong, Ki Ok Ahn, and Ju Ok Park), and Norwegian (Anne Mette Høegh-Larsen).