Due to the increasing deployment of conversational real-time applications like VoIP and videoconferencing, the Internet is today facing new challenges. Low end-to-end delay is a vital QoS requirement for these applications, and the best effort Internet architecture does not support this natively. The delay and packet loss statistics are directly coupled to the aggregated traffic characteristics when link utilization is close to saturation. In order to investigate the behavior and quality of such applications under heavy network load, it is therefore necessary to create genuine traffic patterns. Trace files of real compressed video and audio are text files containing the number of bytes per video and audio frame. These can serve as material to construct mathematical traffic models. They can also serve as traffic generators in network simulators since they determine the packet sizes and their time schedule. However, to inspect perceived quality, the compressed binary content is needed to ensure decoding of received media. The EvalVid streaming video tool-set enables this using a sophisticated reassembly engine. Nevertheless, there has been a lack of research solutions for rate adaptive media content. The Internet community fears a congestion collapse if the usage of non-adaptive media content continues to grow. This paper presents a solution named Evalvid-RA for the simulation of true rate adaptive video. The solution generates real rate adaptive MPEG-4 streaming traffic, using the quantizer scale for adjusting the sending rate. A feedback based VBR rate controller is used at simulation time, supporting TFRC and a proprietary congestion control system named P-AQM. Example ns-2 simulations of TFRC and P-AQM demonstrate Evalvid-RA’s capabilities in performing close-to-true rate adaptive codec operation with low complexity to enable the simulation of large networks with many adaptive media sources on a single computer.