The ItemBuilder is an authoring tool that allows non-technical users to create computer-based assessment items through a graphical user interface. It was developed to empower item authors and separate item design from execution. Items developed in ItemBuilder can be integrated into different delivery platforms like CBA Server or via a web delivery environment. ItemBuilder supports developing a wide range of static and dynamic item types including simulations, problem solving scenarios, and interactions through clicking, highlighting, or text/number entry. It provides templates and an easy to use WYSIWYG editor to streamline the item development process.