Mixed reality simulation in general, and more specifically to mixed reality simulation devices and systems for training purposes, for example in the medical field, may be provided. For example, a mixed reality simulation method for rendering on a display a mixed reality scenario of a virtual environment adapted to a physical environment, may comprise acquiring, with a sensor, a position of a physical environment object; identifying a mismatch between a physical environment surface and a virtual environment surface, the mismatch depending on the physical environment object position and a mixed reality scenario parameter; and computing a mapping displacement for a virtual environment surface based on the identified mismatch.