The ESTE system is running in nuclear crisis centers at various levels of emergency preparedness and response in Slovakia, the Czech Republic, Austria, Bulgaria, and Iran (at the Bushehr Nuclear Power Plant, monitored by the International Atomic Energy Agency (IAEA)). ESTE is a decision-support system that runs 24/7 and serves the crisis staff to propose actions to protect inhabitants against radiation in case of a nuclear accident. ESTE is also applicable as a decision-support system in case of a malicious act with a radioactive dispersal device in an urban or industrial environment. The dispersion models implemented in ESTE are the Lagrangian particle model (LPM) and the Puff trajectory model (PTM). We describe model approaches as implemented in ESTE. The PTM is applied in ESTE for the dispersion calculation near the point of release, up to 100 km from the point of a nuclear accident. The LPM for general atmospheric transport is applied for short-range, meso-scale and large-scale dispersion, up to dispersion on the global scale. Additionally, a specific micro-scale implementation of the LPM is applied for urban scale dispersion modeling. The dispersion models of ESTE are joined with radiological-consequences models to calculate a complete spectrum of radiological parameters—effective doses, committed doses, and dose rates by various irradiation pathways and by various radionuclides. Finally, radiation protective measures, like sheltering, iodine prophylaxis, or evacuation, evaluated on the base of predicted radiological impacts, are proposed. The dispersion and radiological models of the state-of-the-art ESTE systems are described. The results of specific analyses, like the number of particles applied, the initial spatial distribution of the source, and the height of the bottom reference layer, are presented and discussed.