Hoping to have some discussion here to fill a gap in my risk assessment. Short version - your engine fails in a piston twin in cruise flight. Do you land immediately, continue to your destination, return home, or some other option? Long version: I have recently started flying a cabin-class piston twin, Part 91, for its owners, taking them to meetings and such. Typical flights are to places about 2 hours away. Until this point, almost all of my multiengine flying has been in a training environment - either as trainee or instructor. In that environment, for engine failure scenarios, you train on how to initially respond and then generally head for the nearest airport to land. The engine typically "fails" on takeoff, or on approach, or on downwind, or otherwise really close to the runway. But not a lot of time, in my experience, is spent on being up at cruise and discussing what to do after an engine fails. In training, in cruise you generally end up shutting it down, run some checklists, but then just restart it and carry on. So I admittedly haven't spent a lot of time thinking about "well, what now?" if I can't restart it in cruise. That is a shortcoming in my experience and training that I want to correct and am hoping for some discussion about. So, you're up at 10,000 - 15,000 - FL200 or whatever in cruise. An engine fails. You troubleshoot and end up shutting it down. Assume you can safely maintain an altitude that is still plenty high enough to not hit anything. And assume no fire. What do you do then? What's your thought process? Do you land at the nearest available airport regardless of size or facilities? Do you land soon, but try to find someplace close that might have appropriate maintenance? If you're on the outbound leg (to go to the meeting or whatever), do you turn around and go home (where you know there will maintenance and the inconvenience is reduced)? Do you continue to your destination (and possibly be stuck there)? If you're on the inbound (back to home) leg, do you continue on home? Do your answers depend on how far away you are? If so, how long would you be willing to fly on one engine? How heavily does the inconvenience of landing far from home, where there may be no maintenance or readily-available transportation, weigh on this decision? I'm mostly looking for opinions from the standpoint of being a paid pilot, in other words, I'm not flying somewhere for personal reasons. Thanks for the help!