Enhancing empathy toward older adults among physical therapy students is essential to prepare graduates to be equipped to properly treat geriatric patients in all types of healthcare settings. This pilot study evaluated the effectiveness of a homemade geriatric suit to simulate an older adult and improve empathy among physical therapy students. The Jefferson Scale of Empathy for Health Professions student version was utilized to measure empathy-related parameters before and after the geriatric simulation experience. Physical and cognitive performance tests were used to assess the effectiveness of the geriatric suit to simulate typical age-related changes in physical and cognitive performance. Additionally, sociodemographic data were collected such as age, gender and prior experience working with older adults. Following the geriatric simulation suit experience, participants did not demonstrate statistically significant post-intervention empathy scores on the Jefferson Empathy Scale (t = 2.09, p = 0.022). However, patients did demonstrate similar physical scores when compared with older adult norms while wearing the geriatric simulation suit. The geriatric simulation suit experience effectively simulated the aging process, but did not significantly increase empathy in students. The homemade geriatric simulation suit may be a feasible and cost-effective way to simulate typical age-related physical changes in older adults. © 2025 Taylor & Francis Group, LLC.