POSTERSdecreased to 5 after these procedures.SADS decreased after testing in 16 (25%; SADS-D) with % decrease averaging 18% (range 0-90%); SADS did not change in 49 (75%; SADS-N).Decrease in SADS after testing was found in 40% of patients whose ICT performance was abnormal, but only 15% of patients with normal ICT performance (p = 0.045).There was a significantly higher rate of illegal turns in SADS-D compared to SADS-N (median 1 vs. 0, p = 0.04).The percent reduction in SADS score correlated significantly with the number of illegal turns (r = 0.4; p = 0.01) and navigation crashes (r = 0.38; p = 0.03).%SADS reduction also significantly correlated with digit symbol (r = 0.38) and line tracing errors (r = 0.36).Conclusion: Cirrhotic patients gain insight into impairment of driving skills after experiencing navigation errors during driving simulation or perforing poorly on cognitive tests.