Steel-reinforced concrete slabs coated with a thermal-sprayed titanium anode were used to simulate impressed current cathodic protection systems. The titanium anodes were activated with a cobalt nitrate catalyst and subjected to accelerated electrochemical aging representing approximately 23 years at 0.00215 A/m2 (0.2 mA/ft2). During the aging experiment, current was kept constant at 0.0215 A/m2 (2 mA/ft2), voltages were recorded, and water was applied periodically when voltages exceeded compliance levels. At the end of the experiment, coating resistivity, adhesion strength, and titanium-concrete interfacial chemistry were determined. Results show that the coating resistivity increases and adhesion strength decreases with electrochemical aging. Voltages for the slabs varied with the relative humidity. Electrochemical reactions at the titanium-concrete interface caused deterioration of the cement paste by leaching of calcium compounds. Accelerated aging results are compared to similar ones for an uncatalyzed titanium anode and to results from the Depoe Bay Bridge.