The objective of this study is to establish criteria for head impact protection to be required for optimal performance of motorcycle helmets. Head injury severity sustained in real accidents was compared with test results obtained by laboratory drop-tests according to ECE-R 22, considering residual damage of protective padding as an indicator for head impact loading. 15 integral helmets were collected from real motorcycle crashes providing basic important accident data concerning head injury and head impact characteristics. For new helmets similiar to those used in the real accident sample, comparable damage was simulated in laboratory drop-tests using various anvils and impact areas and applying step by step increasing impact velocities. Comparing deceleration profiles from drop tests representing a best as possible approximation of residual accident damage with corresponding head injury severity (MS), the following principal results and conclusions were obtained: