Daily Papers

Psychotherapy clients may experience distress before they can coherently describe it, and their expression changes with emotion, perceived safety, and trust. Large language model-based client simulators often rely on clinically organized case descriptions, which can encourage responses explaining the client's difficulties more clearly than their current understanding warrants. We propose Pandora, a psychotherapy client simulation framework that models how psychological experience becomes situated, individual expression. Pandora updates psychological and relational states in response to therapist interventions, constructs subjective appraisals and attributions, and plans response content and strategy. A separate expression planner combines these decisions with language patterns distilled from the client's utterances to guide linguistic realization. We evaluate Pandora against five baselines on 115 cases from four counseling and motivational interviewing datasets. It achieves the highest expression similarity and overall disclosure-alignment score among the compared systems. In a four-evaluator study of 45 matched disclosure items, Pandora receives AI-like judgments in 7.2% of ratings, compared with 43.3--67.2% for the baselines and 35.6% without expression planning. The ablation also reduces expression similarity. These results support explicit expression planning in client simulation to improve alignment with individual language patterns and reduce perceived AI-like expression in the evaluated setting.

Can large language model (LLM) agents deliver expert-level operations research (OR) solutions directly from original client materials, without prior expert reformulation? Existing OR benchmarks typically begin with self-contained descriptions or predefined optimization tasks, underrepresenting the translation of original business materials into professionally validated solutions. We introduce OR-License, an end-to-end benchmark of 31 instances across 10 industrial scenarios from paid OR engagements totaling USD 3.68 million. It preserves original requirements, input data, deliverable formats, and information boundaries after de-identification. To study information acquisition, we introduce ORSim, a controlled client simulator that discloses business facts without supplying OR expertise. Hidden evaluation checks feasibility and compares objective quality against original expert solutions accepted by clients before benchmark construction. Deployment-Adjusted Quality (DAQ) averages expert-relative quality across instances, assigning zero to infeasible deliveries. Across 11 frontier LLMs using coding-agent harnesses, several exceed the expert reference in conditional objective quality, but none matches its DAQ; the strongest primary Claude Code configuration achieves 88.39% strict feasibility and a DAQ of 0.87 against the expert reference of 1. Client information acquisition extends beyond clarification into solution development and validation, with some later stages showing higher confirmed issue-resolution proportions. Trajectory analysis identifies formulation and implementation failures, while task-equalized research-chain completion rates range from 24% to 45% across models on evaluable tasks. These findings motivate sustained information-gap resolution, faithful problem formulation, and evidence-linked self-improvement for reliable long-horizon agents.

LLM-based simulated clients are increasingly used to train novice counselors, evaluate LLM therapists, and generate synthetic data. However, current simulators produce overly cooperative clients that disclose too readily, accept therapeutic reframes without resistance, and resolve core issues within a single session. We trace these issues to profiles that lack causal depth and behavioral mechanisms that treat all content as equally accessible. We present PatientAct, a framework for client simulation grounded in established clinical theories. Our profiles integrate the 5Ps clinical case formulation, providing causal depth without tying the design to any single therapeutic modality. During simulation, profiles include a dynamic memory layer in which items carry trust thresholds (e.g., symptoms are available early, whereas formative memories require a sustained therapeutic alliance). At each turn, the client's emotional reaction and behavior are modeled before generating a response. If the therapist approaches gated content, PatientAct expresses resistance in terms of quantity, content, and style rather than defaulting to cooperation or a single resistance pattern. We evaluate our framework on 40 clinical situations and demonstrate that it generates diverse profiles with high clinical plausibility. Moreover, PatientAct significantly outperforms the baselines, yielding substantial gains in resistance quality and behavioral realism. Our code and data will be publicly available via github.com/Sahandfer/PatientHub.

Doctor-patient consultations require multi-turn, context-aware communication tailored to diverse patient personas. Training or evaluating doctor LLMs in such settings requires realistic patient interaction systems. However, existing simulators often fail to reflect the full range of personas seen in clinical practice. To address this, we introduce PatientSim, a patient simulator that generates realistic and diverse patient personas for clinical scenarios, grounded in medical expertise. PatientSim operates using: 1) clinical profiles, including symptoms and medical history, derived from real-world data in the MIMIC-ED and MIMIC-IV datasets, and 2) personas defined by four axes: personality, language proficiency, medical history recall level, and cognitive confusion level, resulting in 37 unique combinations. We evaluated eight LLMs for factual accuracy and persona consistency. The top-performing open-source model, Llama 3.3, was validated by four clinicians to confirm the robustness of our framework. As an open-source, customizable platform, PatientSim provides a reproducible and scalable solution that can be customized for specific training needs. Offering a privacy-compliant environment, it serves as a robust testbed for evaluating medical dialogue systems across diverse patient presentations and shows promise as an educational tool for healthcare.

Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.

Training and evaluating interactive language agents typically requires rich user interactions, yet collecting human feedback is expensive and difficult to scale. Simulated users offer a scalable alternative, but they must both resemble real user behavior and provide useful learning experiences for agents. In contrast, most agent-training frameworks rely on off-the-shelf assistant LLMs, whose helpfulness can make them overly cooperative, explicit, and behaviorally homogeneous compared with real users. We introduce MIMESIS, a purpose-built user simulator trained on human conversations with explicit reasoning supervision and 13 realistic behavioral patterns derived from real user interactions. Empirically, our 9B model achieves a SOUL-Index of 65.7, surpassing the strongest frontier model. Compared with Claude-Opus-5, the strongest baseline on RealUserSim and SimulatorArena, MIMESIS improves behavioral fidelity by 13.4 points and reduces Turing distance by 3.6 points, respectively. We then freeze the simulator and train an agent by interacting with the frozen simulator using multi-turn reinforcement learning. Across eight environments, training with MIMESIS yields better agent performance than training with GPT-5.5 under all nine unseen user simulators, demonstrating stronger generalization to new user simulators. Moreover, we propose Coached On-Policy Self-Distillation (CSD), which leverages simulator-generated private reasoning traces and subsequent utterances as feedback on how well the agent addresses user needs. A coach converts this information into concise coaching notes that describe how the agent can better anticipate user needs and adapt its behavior over the course of an interaction. CSD turns this feedback into dense, token-level supervision beyond sparse task rewards, yielding further gains across all nine evaluation user models.

Large language models (LLMs) are increasingly used in interactive applications, and human evaluation remains the gold standard for assessing their performance in multi-turn conversations. Since human studies are costly, time-consuming, and hard to reproduce, recent work explores using LLMs to simulate users for automatic assistant evaluation. However, there is no benchmark or systematic study to evaluate whether these simulated users are reliable stand-ins for real users. To address this, we introduce SimulatorArena, a benchmark of 909 annotated human-LLM conversations on two interactive tasks -- math tutoring and document creation. SimulatorArena evaluates simulators based on how closely their messages match human behavior and how well their assistant ratings align with human judgments. Experiments on various simulator methods show that simulators conditioned on user profiles, capturing traits like background and message styles, align closely with human judgments. They reach Spearman's rho of 0.7 on both tasks, providing a practical, scalable alternative to human evaluation. Using the best simulator for each task, we benchmark 18 assistants, including the latest LLMs such as GPT-5, Claude 4.1 Opus, and Gemini 2.5 Pro.

While LLM/VLM-powered AI agents have advanced rapidly in math, coding, and computer use, their applications in complex physical and social environments remain challenging. Building agents that can survive and thrive in the real world (for example, by autonomously earning income or running a business) requires massive-scale interaction, reasoning, training, and evaluation across diverse embodied scenarios. However, existing world simulators for such development fall short: they often rely on limited hand-crafted environments, simulate simplified game-like physics and social rules, and lack native support for LLM/VLM agents. We introduce SimWorld, a new simulator built on Unreal Engine 5, designed for developing and evaluating LLM/VLM agents in rich, real-world-like settings. SimWorld offers three core capabilities: (1) realistic, open-ended world simulation, including accurate physical and social dynamics and language-driven procedural environment generation; (2) a rich interface for LLM/VLM agents, with multimodal world inputs and open-vocabulary actions at varying levels of abstraction; and (3) diverse and extensible physical and social reasoning scenarios that are easily customizable by users. We demonstrate SimWorld by deploying frontier LLM agents (e.g., GPT-4o, Gemini-2.5-Flash, Claude-3.5, and DeepSeek-Prover-V2) on long-horizon multi-agent delivery tasks involving strategic cooperation and competition. The results reveal distinct reasoning patterns and limitations across models. We open-source SimWorld and hope it becomes a foundational platform for advancing real-world agent intelligence across disciplines: https://simworld.org.

Large language models (LLMs) are increasingly proposed as clinical agents, yet static, single-turn benchmarks cannot capture how a model dynamically delivers care across an encounter: gathering information, planning treatment, and adapting longitudinal management across successive patient states. Medical education has long addressed an analogous challenge through standardized patients (SPs): trained actors who consistently portray clinical cases, enabling realistic practice and objective, scripted assessment. Here we introduce MedSP1000, an SP-derived interactive benchmark for clinical-agent evaluation, including 1,638 SP cases with 24,602 trajectory-level peer-reviewed rubrics. MedSP1000 converts peer-reviewed SP teaching cases into executable scenarios with defined SP case scripts, clinical environment contexts, and human-validated structured rubric. In each simulation evaluation run, a clinical agent interacts in closed loop with a patient agent and an environment controller, and its behaviour is scored throughout the encounter against expert criteria specified in the original materials. Applying MedSP1000 to a range of general-purpose and medically specialized LLMs, we find that performance on static benchmarks does not reliably translate to such educational scenarios. The best-performing model, GPT-5.5, completes only 60.4% of expert-defined rubric items, whereas the strongest medically specialized model reaches 40.0%; increasing test-time compute produces no measurable gain. These results suggest that current LLMs, including agentic systems tuned for medicine, are not yet reliable enough to be safely integrated into actual clinical practice. More broadly, MedSP1000 shows how process-level, SP-style evaluation can reveal clinically relevant failure modes that single-turn benchmarks miss.

Recent benchmarks rely on user simulators to evaluate AI agents in multi-turn interaction. While existing simulation techniques demonstrate surface fidelity to human style and behavior, ecologically valid interactive benchmarking also requires alignment in when and how agents fail across simulated and real user populations. We find that existing simulators lack outcome calibration: agreement with observed success rates and failure patterns when real users interact with the same agent. We introduce Calibrated User Embeddings (CUE), a framework that both encodes observed sessions and samples continuous representations, then decodes them into persona commands to steer LLMs to act as user simulators without training. Through this, we evaluate user-conditioned replay of past sessions and aggregate metric agreement when sampling novel personas for the same tasks. On τ^2-Bench, CUEd simulators commit fewer simulator-attributed errors and more faithfully reproduce real-user agent failure modes, aggregate success rates, and outcomes for specific task-user pairs than other persona-based simulation methods. These gains coexist with competitive user fidelity as measured using metrics established in prior work. After being fit to mostly customer support interactions, the same CUEd simulators generalize to document creation, math tutoring, and casual conversation, and remain effective across different simulator LLMs without CUE retraining.

Interactive virtual worlds allow agents to learn through exploration and interaction. What agents can learn is bounded by the environments they practice in, which must be faithful, with consistent state, rules, and dynamics, and realistic, with observations that follow the real-world visual distributions. Achieving both across diverse worlds remains a bottleneck. We introduce AgentGarten, a framework that couples simulators and game engines with a shared neural renderer to build real-time interactive environments. Its simulation backends maintain persistent world state and execute program-defined interaction rules, while the renderer generates visual observations from structured conditions exported through a common interface. To build the neural renderer, we adapt a pretrained video model to geometry conditions, distill it with our proposed Adversarial Forcing, and optimize inference for real-time interaction. Adversarial Forcing makes history prefilling differentiable through exact replay, so that losses on later predictions update how the renderer encodes prior observations, and adds real-data adversarial supervision to improve its visual quality. In AgentGarten, agents perceive the world through visual observations, interact with it in real time, and improve by distilling each round of experience into playbooks that subsequent agents inherit and refine. Our empirical study demonstrates a substantial gain in learning efficiency, with agents learning from just 4 rounds compared with millions for a conventional reinforcement learning counterpart. As new worlds can be written as code and rendered through the same interface, environments can scale in both number and difficulty alongside their agents, a step toward agents that keep evolving through interactive experience.