Observational analysis shows that the Atlantic multidecadal variability (AMV) is associated with climate variability in the Northern Hemisphere through a zonal atmospheric teleconnection extending from the North Atlantic Ocean and propagating eastward around the Northern Hemisphere. We studied the fidelity of model simulations in reproducing the observed summer AMV and the associated impacts on the mid-latitude climate by analysing simulations using the National Centre for Atmospheric Research Community Earth System Model Version 1 (CESM1), including CESM1 North Atlantic idealized and pacemaker simulations, CESM1 large ensemble twentieth century uninitialized simulations and large ensemble initialized CESM1 decadal predictions. To further compare the fidelity of CESM1, we also analysed large ensemble simulations from three other models. Our results suggest that the uninitialized large ensemble simulations from all models can produce an AMV time evolution and its regional climate impacts similar to the observations to certain degree. By initializing the observed oceanic condition in decadal prediction simulations, the simulated AMV and its regional impacts are closer to the observed ones than those in uninitialized ensemble simulations. In addition, the pacemaker simulations that nudged the time-evolving observed North Atlantic sea surface temperature anomalies produce spatiotemporal characteristics of the AMV and AMV climate impacts closer to the observed ones than the uninitialized simulations. We conclude that although coupled models can produce AMV and its regional impacts similar to observed, proper initialization and bias correction of the sea surface temperature spatial and temporal structure can improve this capability.