Mutation testing can help identify weaknesses in test cases by deliberately introducing faults into code and checking if tests catch the mutations. While code coverage metrics can report high coverage for poor tests, mutation testing works by changing the code in small ways, like changing a boolean operator from AND to OR, and seeing if tests fail as a result. If tests pass despite a mutation, the tests are insufficient. Mutation testing tools exist for Java, like PIT, and Ruby, like Mutant, that automate the process of mutation testing to evaluate test quality. However, mutation testing also has limitations as some mutations may not actually change program behavior, confounding the results.