A simulation center inside the maternity ward of Elmhurst Hospital provides the setting for Carolyn Lazard’s astutely observational video, which documents an all-Black obstetrics team of doctors, nurses, and midwives as they rehearse a complex childbirth scenario with a ventriloquized mannequin for a patient. Deriving its title from the shared agreement among participants in a training simulation, Fiction Contract lingers on the careful staging and surreal performance of care during an exercise designed to reduce racial disparities in maternal mortality.