If you're working in toxicology or drug development, you’ve probably noticed the growing momentum around in vitro models, particularly human-derived systems, which have emerged as promising alternatives. But are they ready to replace—or even reliably supplement—current practices? For decades, animal studies and population data have been the mainstays to predict how substances might affect human health—but they’re far from perfect. Mounting ethical concerns, rising costs, and poor human predictability are revealing serious flaws in the system. Here, we explore the evolving role of in vitro cell models in toxicology, their advantages and limitations, and what it will take for them to become mainstream tools in R&D.