This graduate textbook imparts the fundamentals of reliability and risk that can be connected mathematically and applied to problems in engineering and medical science and practice. The book is divided into eight chapters, the first three of which deal with basic fundamentals of probability theory and reliability methods. The fourth chapter illustrates simulation methods needed to solve complex problems. Chapters 5-7 explain reliability codes and system reliability (which uses the component reliabilities discussed in previous chapters). The book concludes in chapter 8 with an examination of applications of reliability within engineering and medical fields. Presenting a highly relevant competency for graduates entering product research and development, or facilities operations sectors, this text includes many examples and end of chapter study questions to maximize student comprehension.