Would You Rather (WYR), with a Sexual Health Twist! teaching technique uses two youth games, "Would you rather…" and Twister®, to actively engage students in developing decision-making skills regarding human sexuality. Utilizing the "Would you rather" choices, the teacher provides a short scenario with two difficult choices. Student groups identify the choice they believe is best, provide three reasons for the group choice, and offer one pro and con for the choice. Additionally, student groups provide one source of credible health information related to their choice. The lesson incorporates the game Twister® to facilitate student movement when reporting the "Would you rather…" choice their group selected. Student assessment includes an interactive discussion identifying which choice was most challenging, the importance of considering the pros and cons prior to making decisions, and common characteristics of credible health information sources.