The tug-of-war exercise was part of the Empathy Games completed in Mental Health Concepts and Techniques for the Occupational Therapy Assistant. During the day the students engage in a variety of team building exercises and ultimately cap the day off with friendly game of tug-of-war. Typically, the class completes the activity amongst themselves, but this cohort decided to make it a KU OTA wide event. Each cohort challenged another, displaying incredible communication and teamwork. Although the tug-of-war is a reach for therapeutic value it does lend insight to teamwork and communication—which is part of a great working relationship in a health related field.