Direct dynamics simulations of chemical reactions typically require the selection of a method for generating the potential energy surfaces and a method for the dynamical propagation of the nuclei on these surfaces. The nuclear-electronic orbital (NEO) framework avoids this Born-Oppenheimer separation by treating specified nuclei on the same level as the electrons with wave function methods or density functional theory (DFT). The NEO approach is particularly applicable to proton, hydride, and proton-coupled electron transfer reactions, where the transferring proton(s) and all electrons are treated quantum mechanically. In this manner, the zero-point energy, density delocalization, and anharmonicity of the transferring protons are inherently and efficiently included in the energies, optimized geometries, and dynamics.This Account describes how various NEO methods can be used for direct dynamics simulations on electron-proton vibronic surfaces. The strengths and limitations of these approaches are discussed, and illustrative examples are presented. The NEO-DFT method can be used to simulate chemical reactions on the ground state vibronic surface, as illustrated by the application to hydride transfer in C4H9+. The NEO multistate DFT (NEO-MSDFT) method is useful for simulating ground state reactions in which the proton density becomes bilobal during the dynamics, a characteristic of hydrogen tunneling, as illustrated by proton transfer in malonaldehyde. The NEO time-dependent DFT (NEO-TDDFT) method produces excited electronic, vibrational, and vibronic surfaces. The application of linear-response NEO-TDDFT to H2 and H3+, as well as the partially and fully deuterated counterparts, shows that this approach produces accurate fundamental vibrational excitation energies when all nuclei and all electrons are treated quantum mechanically. Moreover, when only specified nuclei are treated quantum mechanically, this approach can be used to optimize geometries on excited state vibronic surfaces, as illustrated by photoinduced single and double proton transfer systems, and to conduct adiabatic dynamics on these surfaces. The real-time NEO-TDDFT method provides an alternative approach for simulating nonequilibrium nuclear-electronic dynamics of such systems. These various NEO methods can be combined with nonadiabatic dynamics methods such as Ehrenfest and surface hopping dynamics to include the nonadiabatic effects between the quantum and classical subsystems. The real-time NEO-TDDFT Ehrenfest dynamics simulation of excited state intramolecular proton transfer in o-hydroxybenzaldehyde illustrates the power of this type of combined approach. The field of multicomponent quantum chemistry is in the early stages, and the methods discussed herein provide the foundation for a wide range of promising future directions to be explored. An appealing future direction is the expansion of the real-time NEO-TDDFT method to describe the dynamics of all nuclei and electrons on the same level. Direct dynamics simulations using NEO wave function methods such as equation-of-motion coupled cluster or multiconfigurational approaches are also attractive but computationally expensive options. The further development of NEO direct dynamics methods will enable the simulation of the nuclear-electronic dynamics for a vast array of chemical and biological processes that extend beyond the Born-Oppenheimer approximation.