A decision support system with damage stability analysis has been recognized as an important tool for passenger ships. Various software applications have been developed and taken into use over the years, without a direct link to any compelling requirement, set forth in the international regulatory framework. After the Costa Concordia accident, new regulations have been established, setting minimum requirements for a decision support system, as an extension to a loading computer. Yet, more advanced systems have been developed recently, aiming at providing valuable additional information on the predicted development of the stability of the damaged ship. This paper presents these alternative decision support systems with damage stability analysis methods for flooding emergencies on passenger ships. The technical background, usability, and usefulness of the various approaches are compared and discussed, taking into account the important statutory approval point of view. In addition, practical examples, including past accidents, are presented and discussed.