Controllers are not working in the Simulation
Controllers not responding at all, or working in the headset home but not in X-ray Pro VR, RadSafe VR or BirthWise VR? Here is what to check.
Controller problems in X-ray Pro VR, RadSafe VR or BirthWise VR come in two kinds. Pick the one that matches what you see, then follow the steps.
Controllers not working at all
This is often a room setup problem: the headset doesn't know where your floor and play area are. But it can be caused by many things, so work through these in order.
- Check power. Make sure both controllers are switched on and charged, or have fresh batteries.
- Check they are connected. SteamVR headsets: the SteamVR window on the PC should show both controllers. If one is missing, open the SteamVR menu, then Devices, then Pair Controller, and follow the steps. Meta Quest: the controllers should show in the headset home.
- Re-run room setup. Choose room-scale if you have space to walk around, or standing if you don't. See the table below.
- Check the room. Make sure the room is well lit and nothing blocks the headset's view of the controllers. HTC Vive, Vive Pro, Vive Pro 2 and Valve Index: the base stations must have a clear view of your play area.
- Restart everything. Close the simulation. Restart SteamVR or the Meta Horizon Link app on the PC, and restart the headset. Then try again.
- Still not working in the headset home? Then it is a headset or controller hardware problem. Use the Headset maker support links below, or contact the supplier of your headset.
| Headset | How to re-run room setup |
|---|---|
| HTC Vive, Vive Pro, Vive Pro 2, Valve Index | In the SteamVR window on the PC, open the menu and select Run Room Setup. Choose Room-scale if you have space to walk around (at least 2 m x 1.5 m), or Standing Only if you don't. Follow the on-screen steps, including setting the floor. |
| Meta Quest (standalone, or with Link or Air Link) | Press the Meta button on the right controller, select the clock on the left of the menu to open Quick settings, then select Boundary. Choose Roomscale if you have space to walk around, or Stationary if you don't, and follow the on-screen steps. |
Work in the home, not in the simulation: HTC Vive, Vive Pro, Vive Pro 2 or Valve Index
- Close the simulation.
- Open the SteamVR menu. Click the menu button on the SteamVR window on your PC.
Can't see the SteamVR window? Open it from the Windows taskbar.
- Select Settings.

- Set Advanced Settings to Show, open Video, and turn Pause VR when headset is idle Off.

- Open the simulation again from the Web Portal with Launch VR simulation.
Still not working? Make sure SteamVR is the only active OpenXR runtime on the PC. See Additional guidance for VR system configuration.
Work in the home, not in the simulation: Meta Quest with Link or Air Link
- Close the simulation.
- Set Meta Horizon Link as the OpenXR runtime. On the PC, open the Meta Horizon Link app, then Settings, then General. Next to OpenXR Runtime, select Set Meta Horizon Link as active. If it is greyed out, it is already active.
- Check Unknown Sources is on. Still in Settings, General, make sure Unknown Sources is turned on.
- Reset your boundary and floor. In the headset, open Quick settings, then Boundary, and set it up again (Roomscale if you have space, Stationary if not).
- Use the controllers, not hand tracking. Pick up both controllers before you start.
- Open the simulation again from the Web Portal with Launch VR simulation.
Full Quest setup: Using a VR headset with a PC.
Standalone Meta Quest (institution headset)
Close the simulation and restart the headset: press and hold the power button until you see the Power off screen, then select Restart. Reset your boundary as in the table above, and use the controllers, not hand tracking. If it still happens, tell the person who manages your institution's headsets.
Headset maker support
Virtual Medical Coaching supports the simulation, not the headset or controllers. For hardware problems, use the headset maker's own guides:
| Headset | Maker's controller help |
|---|---|
| HTC Vive, Vive Pro, Vive Pro 2 | Controllers cannot turn on How to tell which controller is not being tracked |
| Valve Index | Index Controller Troubleshooting Help with Valve Index |
| Meta Quest | Troubleshoot Touch controller status lights Troubleshoot controller drift |
| Meta Quest managed by your institution | Troubleshoot controller issues with your organization-managed Meta Quest |
Seeing a message? Look it up in Error messages and what they mean.
- Ask the chatbot: the Ask me anything box, bottom right of any Help Center page.
- Submit a help ticket.
Help us fix it first time. A ticket that only says "it's not working" doesn't tell us what has gone wrong, so we can't fix it. We'll have to write back and ask for details, which slows everything down. Please include:
- which simulation (X-ray Pro VR, RadSafe VR or BirthWise VR)
- your headset model, and whether you use SteamVR, Meta Horizon Link, or a standalone Quest
- whether the controllers work in the headset home
- which room setup you chose (room-scale or standing) and which steps on this page you have tried
- your log files, if you can find them