AbstractAlthough it has been shown that using recycled concrete aggregate in new structural concrete is economical and sustainable, the use of this material for such applications is still not widespread. One of the reasons is that manufacturers, designers, engineers, owners, and other market players are not familiar with specifying and utilizing this material—although standards are starting to incorporate provisions for recycled aggregate concrete, successful, practical example projects are needed. The current paper describes the results of a partnership between universities and a precast concrete manufacturer of hollow core slabs. Seven hollow core slabs with volumetric replacement ratios of natural aggregate with recycled aggregate from 0% to 60% were tested to failure in both bending and shear, and then undamaged portions of the slabs were subjected to punching shear until failure. The results showed only mild differences in strength, with different replacement percentages of recycled aggregate under the various loading scenarios. Numerical simulations performed in Abaqus demonstrated the feasibility of analyzing recycled aggregate concrete structural elements and provided important insights into their behavior.