Comprehensive Life Cycle Assessments of textile and apparel products show that Consumer Use Phase laundering is a major contributor to Global Warming Potential, Ozone Depletion Potential, and Primary Energy Demand. Efforts by laundry machine manufacturers to remedy this situation led to the development of High Efficiency (HE) laundering technology. However, one major challenge is that as laundry machines become more energy-and water-efficient, there is no objective way of knowing whether they are still effective at achieving their fundamental function, i.e., cleaning the garments. This paper presents a review of this challenge and the research needed to address it.