Introduction Maternal cardiac arrest is a rare, time critical event. If there is no response to CPR after 4 minutes, guidelines recommend a perimortem caesarean section (PMCS). Simulation is invaluable for training in procedures such as this, which occur infrequently and rely on confident and time efficient decision making. We aimed to develop a low-cost, sustainable and procedurally accurate model for PMCS simulation to address this gap in our training programme. Methods ADAMgel was infused and combined with various fabrics to create the texture of anatomical layers encountered during the procedure. We then conducted pilot simulation sessions and collected feedback using 5-point Likert scales. Results Feedback from a combination of experienced consultant clinicians, and trainees, was excellent. 100% of respondents either agreed or strongly agreed that the model improved the simulation. 90% of respondents agreed or strongly agreed that they felt more confident in the procedure after using the model. 70% of respondents rated the tactile realism of the model ‘high’ or ‘very high’, with the remaining 30% of respondents rating it ‘medium’. Conclusion ADAMgel, in combination with other readily available materials, can produce an effective, low-cost, sustainable, and procedurally accurate PMCS model. This model, paired with appropriate speciality-specific learning resources and more generalised multi-disciplinary team centred learning outcomes, will enable effective and impactful training in this life-saving procedure.