The virtual escape room was conducted with team of five participants across training levels, from medical students to PGY-3 residents, all naïve to escape room–style learning. Participants collaborated to solve a stroke alert case by navigating virtual “rooms” representing phases of stroke evaluation. Clinical clues integrated core competencies including NIHSS assessment, imaging review (CT/MRI), thrombolytic therapy indications and contraindications, and foundational concepts in neuropathology, infectious disease, and genetics. Interactive elements, such as crosswords, analytical games, and eponym challenges reinforced learning. The case was designed using Kern’s six-step curriculum and Bloom’s taxonomy to guide a stepwise approach.