Analog and mixed-signal CAD looks like a nice success story: there's been significant research in building design automation tools since the late 80's, and commercial tools have been on the market for several years now. However, the majority of AMS (Analog/Mixed-Signal) designers still use manual design only, focused around the SPICE simulator. So why are designers not or slowly adopting these CAD tools? This paper will present a reality check on the current state of the art of AMS design tools for industrial usage. Categories and Subject Descriptors B.7.2 [Integrated Circuits]: Design aids –graphics, layout, placement and routing, simulation, verification General Terms Algorithms, Design, Verification. Keywords Analog, mixed-signal, integrated circuits, computer-aided design