In this Perspective, we review our recent work on rotationally inelastic collisions of highly vibrationally excited NO molecules prepared in single rotational and parity levels at v = 10 using stimulated emission pumping (SEP). This state preparation is employed in a recently developed crossed molecular beam apparatus where two nearly copropagating molecular beams achieve an intersection angle of 4° at the interaction region. This near-copropagating beam geometry of the molecular beams permits very wide tuning of the collision energy, from far above room temperature down to 2 K where we test the theoretical treatment of the attractive part of the potentials and the difference potential for the first time. We have obtained differential cross sections for state-to-state collisions of NO (v = 10) with Ar and Ne in both spin-orbit manifolds using velocity map imaging. Overall good agreement of the experimental results was seen with quantum mechanical close-coupling calculations done on both coupled-cluster and multi-reference configuration interaction potential energy surfaces. Probing cold collisions of NO carrying ∼2 eV of vibrational excitation allows us to test state-of-the-art theory in this extreme nonequilibrium regime.