In 2012, the first version of the DILIsym software was released (v1A). The released model focused on DILI mediated through the depletion of ATP levels in hepatocytes, with emphasis on oxidative stress induced by reactive metabolites. Since that time, DILIsym have evolved considerably. DILIsym version X (DSX) was released in 2021, and includes additional DILI mechanisms related to cholestatic injury, bile acid homeostasis disruption and mitochondrial dysfunction. Resources utilized to optimize and validate the model include scientific literature, novel experiments, clinical trials and reports, expert opinions, and basic biological principles. To facilitate review of the quantitative data sets utilized to build the software, each DILIsym version includes a Data Comparisons feature that displays comparisons of simulation results with data sets used to optimize, validate, or test the model. In addition, the DILI-sim Initiative consortium routinely discusses and reviews the DILIsym Performance Review, a comprehensive assessment of software predictivity that is constantly updated. The DILIsym Performance Review has shown that DILIsym predicts the overall liver safety correctly in 80% of the use cases thus far, in addition to the investigative toxicology benefits of the software.