Digital twins offer significant promise in personalized medicine

The healthcare system is still operating with one-size-fits-all treatment models. That doesn’t make sense when individual biology varies so much. Digital twins offer a leap forward. Picture a real-time, responsive virtual model of a patient. It’s not a static file sitting in a hospital server; it’s a dynamic simulation that evolves as new data comes in, from wearables, blood tests, imaging, and doctor input.

With these personalized simulations, doctors can test different treatment options on the virtual model before applying anything in the real world. That means fewer side effects, more effective therapies, and faster patient recovery. Drugs, diets, exercises, everything can be fine-tuned without trial and error on the patient.

This also opens the door to solving persistent issues like overprescription, poor response to medication, and avoidable complications. You don’t need to guess that a medication will work, you simulate it, see the outcome, then decide.

C-suite leaders in healthcare, insurance, and AI should be thinking about this tech as a platform shift. We’re not digitizing forms anymore. We’re simulating human experiences to optimize how we treat disease.

This approach also aligns with the P4 medicine model, Predictive, Preventive, Personalized, and Participatory. It puts real power in the hands of doctors and patients by providing clearer, more accurate insight before any decisions are made in real life.

There’s no question here, this is the direction healthcare is headed. We can speed it up by resourcing the right talent, structuring health data access correctly, and breaking apart legacy processes that make customization difficult.

Digital twins enhance research experimentation and simulation capabilities

Scientific experimentation benefits when risk, cost, and time come down. Digital twins change the game on all three. Instead of trialing therapies, policies, or innovations on real individuals, or taking years to run controlled studies, we simulate the conditions on demand.

Research teams at major institutions are already using these tools in advanced ways. You can simulate thousands of individuals with precise variations and get feedback instantly, whether you’re studying medical interventions, behavioral science, or system efficiency. That cuts costs and brings faster clarity to tough questions without regulatory delays or safety risks.

For executives managing R&D pipelines, this tech means creating a testable model of any problem, be it in medicine, manufacturing, or socioeconomics, and iterating faster. That’s leverage. This is more than automation or boosting output. It’s about accuracy and speed in decision-making, something that comes from real data, dynamically modeled.

Spend fewer cycles on static studies. Spend more time improving outcomes. When people say R&D is expensive and slow, this is one way to change that math. It’s not just about big breakthroughs either, even everyday improvements take less time when you’re not waiting weeks to collect results from different people or slow-run trials.

Decision-makers who integrate simulation into early-stage processes can shorten cycles and increase resilience in strategic bets. It’s not always a moonshot. Sometimes it’s just smarter iteration.

Digital twins enable large-scale occupational analysis and workforce planning

Digital twins aren’t limited to machines and health systems, they’re also reshaping how we understand labor markets. Through modeling entire populations, we can now simulate the capabilities, vulnerabilities, and future of human workforces at a national scale. MIT and Oak Ridge did exactly that through Project Iceberg. They created digital copies of 151 million U.S. workers, spanning 32,000 skills across 923 distinct occupations.

What they found matters: 11.7% of American jobs, around 21 million, can already be automated using today’s technology. That translates to $1.2 trillion in wages. This isn’t theoretical. This is current state. For executives, it’s a planning blueprint. These models show where automation is most likely to disrupt, and what skill sets need to shift before the change hits.

This is actionable intelligence. With it, you can design transition pathways, guide upskilling strategies, and avoid workforce shocks. Whether you lead a multinational enterprise, a national industry group, or a government body, knowing the pressure points early is critical. It’s proactive strategy, not reactive triage.

This kind of simulation also supports long-term operations planning. You’re not relying on historical data alone, you’re targeting specific workforce impacts and building around them before the problem grows. This is also how you align investments in education and recruitment with real market shifts. Less guessing, more building.

There’s a lot of loose language in the market when people talk about “future of work.” Digital twin modeling makes it specific. It turns that future into a measurable reality that teams can act on before disruption arrives.

Current digital twins may lack the necessary accuracy in capturing nuanced human responses

While digital twins are advancing fast, there’s a hard ceiling right now: they don’t replicate real human complexity with full fidelity. A serious study from researchers at Columbia, Barnard, Yale, and Yeshiva tested this by comparing real human survey responses to those generated by digital twins built from personal data. Across 164 outcome areas, spanning politics, cognition, tech use, and social behavior, the twins were only 75% accurate.

That level of precision isn’t enough for high-stakes decision-making. In many cases, it matches the output of generic demographic models. In other words, the simulation may sound smart, polished, and informed, but it’s often guessing.

So when you encounter vendors or platform providers claiming high human fidelity from AI-generated models, check the details. This isn’t sci-fi. It’s useful, but imperfect. Executive teams relying on these simulations for consumer research, behavioral modeling, or culture assessments must account for margin of error. These systems aren’t yet replacements for real conversations, field testing, or controlled studies when exactitude matters.

Use them to spot trends, stress test assumptions, or explore possibilities. Don’t confuse simulation with replication. That difference can be the break point between a smart strategy and a flawed one.

The tech will improve. The models will learn faster and more deeply. But as of now, businesses deploying these tools at scale should build in accuracy buffers, and avoid policy calls or market assumptions based solely on AI twins of individuals. Simulation gets you close. Assumptions based on incomplete accuracy push you in the wrong direction.

Prominent tech executives and celebrities are using digital twins to manage public engagement and workload

Digital twins aren’t just behind-the-scenes tools anymore. Executives and public figures are using them as scalable extensions of their presence. In tech circles, this is already happening. Eric Yuan (CEO, Zoom), Sam Liang (CEO, Otter.ai), Dan Thomson (CEO, Sensay), Kevin Davis (CEO, Persona Studios), and Garg (CEO, Viven) are all early adopters. They’re using digital replicas of themselves to handle interactions, answer questions, and engage across channels, without being physically available.

It’s not just Silicon Valley. Celebrities are ahead of the curve too. Jack Nicklaus launched “Digital Jack” to connect with golf fans at scale. Carmelo Anthony is using a digital twin to handle brand interactions and fan outreach. K-pop star Mark Tuan has “Digital Mark” doing real-time fan engagement, capable of communicating with thousands simultaneously.

For C-suite leaders, this matters because digital twins can now handle workload overflow while maintaining a controlled brand voice. Messaging stays aligned. Access becomes scalable. Operating capacity improves.

But there’s a strategic line to manage. There’s a difference between using digital twins to scale routine interactions and using them to replace human presence altogether. When the result feels impersonal or deceptive, it introduces risk to brand integrity. People can sense the difference, and they respond accordingly.

Use this tech as a multiplier, not a mask. When well-executed, digital twins make engagements faster, more predictable, and consistent. Just don’t delegate your core identity. That’s still yours to manage.

Using digital twins of customers can pose significant risks to brand trust and public perception

When businesses use AI-generated replicas of their customers to simulate opinions, behavior, or purchasing preferences, it may seem efficient. But the cameras are on. And people notice. A study by First Insight found that 69% of U.S. consumers would trust a brand less if they found out it replaced direct feedback with digital twins. Only 8% said they’d prefer this data-driven shortcut.

This is important because although the simulation may be accurate in parts, it misses the active relationship customers expect. People want to be asked what they want, not predicted, simulated, or treated as a data set. That demand for participation isn’t going anywhere.

For brand leaders, this means treating digital twin technology like a behind-the-curtain tool, not a proxy for engagement. Use twins to identify trends and internal insights, yes. But always validate those results with actual customer interaction.

Transparency also matters. Hiding your use of synthetic personas creates risk. The same research showed that 58% of consumers said they would become detractors if they discovered a brand was using digital twins instead of real feedback. That’s not a passive loss, it’s active harm to reputation and word of mouth.

Smart brands will stay direct where it counts. Use the tech internally, scale insights privately, but keep the customer-facing relationship authentic. If trust drops, no backend efficiency will make up for lost loyalty.

Integration of digital twins into social media platforms has generated notable public backlash

Digital twins aren’t being used just in enterprise environments, they’ve started showing up in consumer-facing apps too. Meta rolled out AI-based character profiles on Facebook and Instagram that mimicked normal user activity. These digital personas appeared human: they posted images, replied to comments, and answered DMs. The problem? Most users didn’t know they weren’t interacting with real people.

Public response was clear and negative. After complaints and a wave of media criticism, Meta pulled down or buried many of these AI profiles. They also scaled back the entire feature set.

This is a lesson for any executive deploying AI in public spaces: people are responsive to authenticity. If users think they’re being misled, even passively, they’ll push back. In social media environments, where identity and personal interaction shape the user experience, introducing realistic AI twins without transparent labeling erodes trust fast.

Video content was also affected. Meta offered creators tools to auto-generate clips where their AI-generated face and voice would deliver scripted lines on Reels or Stories. It was meant to streamline branded content creation, but users flagged the lack of clarity on what was real versus AI-generated.

When digital twins are used for interaction at scale, especially with limited transparency, the execution must be handled carefully. The backlash highlights that consent and clear labeling aren’t optional in AI deployment. They are essential to user trust, legal boundaries, and long-term platform sustainability.

Executives looking at this space need to factor user sentiment into product strategy. Launching with high realism but low clarity creates risk that will not scale well.

Public resistance underscores the reputational risks of misusing digital twin technology

The pushback against digital twins, whether in social media, brand engagement, or customer simulation, reflects a consistent concern: people don’t want to be replaced or misrepresented by AI. That demand for authenticity puts serious boundaries on how this technology can be used publicly.

Whether you’re a CEO, CMO, or CPO, make no mistake, digital twins carry reputational weight. When used to represent people, opinions, or direct relationships, the margin for error is slim. If customers discover that leadership messages, product feedback loops, or brand interactions are operated by synthetic replicas, the reaction won’t be subtle. It will be vocal, and it will move fast.

What’s acceptable internally doesn’t always translate externally. Within your organization, automation and simulation can speed up decision-making and reduce churn. Outside your company, where trust drives perception, these same tools can become a liability when deployed carelessly.

There’s room for optimism, but it needs structure. The tech is improving, and over time the expectations around AI will evolve. But right now, people want clarity. They want direct engagement. Anything that crosses that line, without communication and consent, carries risk.

The next wave of leaders in this space will be the ones that understand how to manage this balance. Not just what the tools can do, but when not to use them, and why.

The bottom line

Digital twin technology isn’t just another digital layer, it’s a shift in how we simulate, test, and engage with both systems and people. When used with precision, it can drive medical breakthroughs, accelerate research, and optimize executive workloads. But when used carelessly, especially in places where authenticity and trust matter, it can erode brand equity and damage relationships fast.

For decision-makers, the takeaway is simple: use digital twins where they add clear value, and put guardrails in place where human connection is expected. Don’t confuse automation with engagement. Customers, partners, and employees can tell the difference.

Like any powerful tool, context matters. Lean into transparency, prioritize accuracy, and don’t cut corners where trust is on the line. The tech is evolving quickly, but reputations move even faster. Use it wisely.

Alexander Procter

February 4, 2026

11 Min