The Sims 4 Babies Guide

Getting Pregnant, Having a Baby or Twins, and Caring for Them

by Pam Marsden

Close-up picture of a Baby in The Sims 4
A Close-Up shot of a Baby in The Sims 4

Video Guide: Pregnancy and Babies

Learn how to have a baby, how to handle twins and triplets, and how to influence the gender of your offspring after your Sims Try for Baby so you can have the little boy or girl you want.

Pregnancy and Babies Video Guide

Have a Baby by Adopting

Adopting a Baby, Toddler, or Child
In The Sims 4, babies can be produced using Try For Baby or using the computer to adopt. (Choose Household, then Adopt). Adoption costs $1,000 and the player gets to choose between a baby, toddler, and a child. You also get to pick the one you wish to adopt. The computer will show pictures and names of the available babies, toddlers, and children. Click on the one you want. My Sim chose a baby named Savannah. She immediately walked out of the house and disappeared at the street. About an hour later, you'll get a notice that your Sim is bringing home a new family member. You'll also be given the option to change the name of the baby you pick. Your Sim returns with some confetti and the baby is magically in the bassinet. Adopting a toddler or child works the same way.

Have a Baby by Getting Pregnant

Other Guides: Toddlers Guide  |  Children Guide

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To have a baby naturally, a Sim who is able to be pregnant (male or female via CAS options) will have to find a suitable partner/spouse and go through all of the necessary friendly and romantic interactions in order to successfully Try For Baby. My Sim had the Romantic trait and her Aspiration was Soul Mate, which meant that she eagerly sought the Sim who would be the father to her baby. I found that Try For Baby came up sooner than in Sims 3, so less time was needed for the couple to interact romantically. Getting flirty can help boost the success of romance interactions.

The parents were married and had maxed their friendship and romantic bars, and Try for Baby often came up as a first option without having to do any romancing before hand. Sims can also have a male appearance and have the ability to become pregnant, or be female in appearance and able to make others pregnant - see transgender section below for how to do this.

Woohoo in Sims 4 to Try for Baby
Getting ready to Woohoo with Try for Baby to become Pregnant

Video Guide: How to Woohoo & Try for Baby

Video guide for how to Woohoo in The Sims 4 to have a baby

There are no longer pregnancy chimes at the time your Sims Try for Baby. Instead, the mother can do a pregnancy test by clicking on the toilet afterward. The cost is $15 and results are immediate. Either it will say she's eating for two or to try again. She will immediately start to show a little after getting a positive pregnancy test. Otherwise, if you do not do a pregnancy test, the game will inform you after a day that the mother is pregnant. Luckily, the mother will wear her same clothes throughout the pregnancy. There's no spinning into ugly maternity clothes!

CAS Options - Make Sim Transgender
During Create-a-Sim, you can select '...' beneath the gender settings to make your Sim however you desire. Sims can have masculine voice and feminine appearance, and you may also select whether that Sim is capable of becoming pregnant regardless of gender. You must pick one or the other - Sims who can become pregnant can't get others pregnant. You may also choose neither, indicating that Sim can woohoo without any baby being born.

Male Pregnancy (via Alien Abduction)
If you have a male Sim in the household who is from Young Adult to Elder in age and have installed the Get to Work Expansion, Alien Abduction can result in your Sim getting pregnant. You can make this happen by joining the Scientist Career, and working your way up until you can build the satellite. You can use the satellite on your home lot to contact aliens. This makes them more likely to visit, and thus abduct your Sim. Conversely, you can use the satellite to stop alien abductions to prevent your male from getting pregnant. For a full tutorial to abductions, see How to Get Abducted for Alien Babies.

Having Boys or Girls

Explore My Mods! Color Picker for Builders, Seasons Tuner, Dine Out Reloaded and a Gameplay Overhaul! Like other modders, I've been working to make The Sims 4 a better game. Check out my many mods here!

Influence the Baby's Gender: A patch made it so that we can influence the gender of babies, so we can make the chance large that a baby girl or boy is born:

  • To be more likely to have a baby boy: Eat carrots and listen to alternative music on the radio.
  • To be more likely to have a baby girl: Eat strawberries and listen to pop music on the radio.

Doing both of these things during your pregnancy will increase your odds of having a boy or girl.

Having Twins and Triplets: Multiple Births

Though it is possible to influence the game to give you Twins or Triplets, the pregnancy will typically produce a single baby. Twins and triplets can happen naturally, but to increase the chances of twins or triplets, use the Fertile Reward. It's available from the Rewards Store for the price of 3,000 Satisfaction points. You can also cheat to have twins or triplets, see below. If those cheats are too complex, you can use the Sims.give_satisfaction_points X cheat to give yourself enough to afford fertile

Another means of boosting the odds of twins and triplets is to use the Wellness skill on someone other than the Sim who is going to get pregnant, or visit a massage parlor. With the Spa Day Game Pack, Sims can get a Fertility Massage at the Spa or from a Sim who is practiced in the Wellness skill. You must own a massage table to get one at home, but this is reported to increase the rate of twins and triplets as well.

These are at present the only ways known to boost multiple birth rates without cheating.

During the Pregnancy

A pregnancy lasts approximately three Sim days, no matter which lifespan setting the player is using. The mother will have morning sickness and make trips to the bathroom to vomit. It's pretty gross, so beware before you zoom in for a close up! The toilet will need to be cleaned afterward. During her pregnancy, the mother will have backaches that may or may not be helped by a massage from her partner. I didn't notice my Sim getting any whims for a massage. The mother will be able to Share Big News and Invite to Feel Baby. Hover over her pregnancy moodlet to see how far the pregnancy has progressed: first, second, or third trimester. By the third trimester, the mother is HUGE! She's also quite uncomfortable and ready for the baby to come.

A Sim feeling a Pregnant Sim's Baby Kicking
Sim Feeling the Baby Kicking in a Pregnant Mother's Stomach

Preparing the Nursery
In Sims 4, the only baby item is the bassinet. You may purchase one prior to the birth, or one will be provided by Social Services when the baby is born if you don't own one. The bassinet doesn't take up much space and can easily be kept in the mother's bedroom if you don't want to bother with making a separate nursery. Consider building up a bedroom for your baby before it ages up to Toddler. You'll need a high chair, toddler bed, and potty chair.

Giving Birth to a Baby

When the time arrives, the mother will go into labor. It will last about three hours and the mother can do anything she wants during this time. She can eat, have conversations, go to the bathroom, even sleep. She'll have a +40 Uncomfortable moodlet during this time, however, which is too large to really overcome by normal means. If you like, you can avoid long labor by simply clicking the option to deliver at hospital from the Bassinet. The father in my game would sometimes have pre-parental panic and run through the house. He had the Hates Children trait, so that was a possible cause, but other fathers may experience this as well. Nobody else in the house (teens and children) had any reaction.

Sim Fathers may go into Pre-Parental Panic as the baby's arrival draws closer
A Sim Father goes into Pre-Parental Panic, Anxious for the Baby's Birth

When it's Go Time, the mother will go to the bassinet for the actual birth, or you'll be taken to the hospital for surgery with the Get to Work Expansion (if you chose the hospital route). This is when we get to see her faces and listen to her groan. It doesn't last long and before you know it, you've got a brand new baby. The little darling will be dressed in a one-piece jumper: green for boys and yellow for girls. No traits are chosen at the time of birth, so it doesn't matter if the mother has a smooth pregnancy. The first trait is chosen at Toddler and a childhood Aspiration is chosen at the Child stage.

The Sims 4 - a Sim in Labor, ready to give birth to a baby
The Pregnancy comes to an end as the Mother goes into Labor

Caring for the Baby

Baby's Needs
The baby cannot be the active Sim and the player cannot see his/her needs. You have to judge the situation from visual and audio clues. but they have a hidden hunger, fun and hygiene need that must be met. The baby will sleep automatically when well cared for. You can develop the relationship by using the limited socials that are available, while also satisfying the baby's needs for entertainment and socialization. A green cloud means a dirty diaper and crying means the baby needs to be fed and/or you should played with the baby. My Sims were fairly attentive to the baby without being told, but this might not always be the case. All interactions are found by clicking on the bassinet and the baby never leaves that immediate area.

Stinky Baby equals time for Diaper Change
When Babies get Stinky, it's time for a Diaper Change

When feeding, the mother has the option to bottle feed or breast feed. Everyone else can only bottle feed. Males pregnant with an alien baby can breast feed, however. The other interactions besides changing the dirty diaper are: Bounce, Coo At, Make Silly Face, Rock, Talk, Shoosh, Show Off To, and Age Up. Children will be able to Coo At and Talk to the baby. To use the Show Off To interaction, make sure the bassinet is not up against a wall. The person looking at the baby will stand at the head of the bassinet.

The Sims 4 - Showing off a Baby
Showing off the Baby to another Sim

Leaving the House and Neglecting the Baby
Sims can all leave the house when there's a baby, no problem. The baby automatically gets sent to Day Care while the parents and others are away at work, or just out exploring to collect items. If a baby is neglected for a period of time, the baby will be taken away to safety. The baby will simply disappear in a green flash of light. This didn't seem to negatively impact the mother's ability to have more babies later.

Aging Up Babies To Toddler (you can Skip Past Baby)

A baby can be aged up to Toddler at any time after the birth by clicking on the bassinet. However, if you wish to wait until the normal aging time, you may wait it out by caring for them until this happens automatically. The only real benefit to letting the baby age on its own is to increase the relationship between the baby and other Sims in the house, while also giving you time to prepare to care for a toddler properly by giving them their own bedroom. All of the interactions your Sims can make with the baby will increase the relationship bar. When the time comes, the baby will age straight to a toddler who can roam the house and needs to learn Toddler skills. The duration a Sim's baby life stage will vary depending on which lifespan you're playing. On the short lifespan, it's about 1 1/2 days to age up to toddler. On normal lifespan, it's about 3 days.

Learn More: Toddlers Guide  |  Children Guide

Pregnancy Cheats

Mod Required
Only Try for Baby cheats (below) can be done without a mod. For other pregnancy cheats, you need to use a mod to unlock additional commands. Download TwistedMexi's Enable All Cheats Mod to get back the testingcheats that were removed. See instructions for using these cheats in the video below. Follow the link to subscribe to my channel and get notified of new video guides.

I have made a more detailed guide to Using Pregnancy Cheats in The Sims 4 where you can see the below video and then use step by step instructions to attempt to replicate my results.

Pregnancy Cheats in Sims 4

Pregnancy Cheats for The Sims 4

Try for Baby Cheat (By Raising Romantic Relationship Levels)
If you want to cheat to make your Sim have a high romance standing with another in order to try for baby, type modifyrelationship yoursimfirst yoursimlast targetsimfirst targetsimlast 99 romance_main - for example, modifyrelationship alex wilkis christy mooney 99 romance_main will make them have a near-max romance bar, which is capable of trying for baby with or without building friendship first. Use a few romance socials successfully, then hit try for baby and you're good!

Speed up Pregnancy (Requires Mod)
You cannot directly use a cheat to get pregnant, but you can cheat to get it over with faster. This works only when a Sim is pregnant, otherwise it makes them go through the labor without producing a baby. Type testingcheats on, followed by Sims.add_buff buff_pregnancy_inlabor. This works when males are pregnant with alien babies, as well.

Sims 4 Pregnancy Cheats
The multiple births cheat requires you to get a Sim ID number like above. Be sure you type your Sim's exact first and last name when using the cheat.

Forcing Twins, Triplets, and More (Requires Mod)
A cheat is availble to force multiple births as well. These require testingcheats on. First, you need to get your Sim's ID after they've been made pregnant normally (see above to max romance).

Type sims.get_sim_id_by_name firstname lastname to get the ID of the pregnant Sim.

Now you can influence how many births they have at once. It may work up to 7, but keep in mind that the maximum household size is 8. So do a little addition, and save your game first. It may hang quite a bit generating all these babies. Use the Sim's ID you got from the first cheat, for example 1341302010235.

Then type pregnancy.force_offspring_count 1341302010235 5 So pregnancy.force_offspring_count ID (number of babies). My example would produce 5 babies, but you need your Sim's actual ID number (that one's made up). Thankfully, the ID will stay in the box while you work on typing out the cheat! I tested this with the force labor cheat, and it does work. It's best to use the forced labor cheat right away after using this one. Without it, they will have the babies at the normal time, not right after using the cheat, but you'd have to stay home the whole time. Traveling breaks the multiple births cheat, so speeding up via fored labor keeps you from having issues. Save first to give yourself another shot if something goes wrong.

Quadruplet babies in The Sims 4
The quadruplets pictured were forced via the pregnancy cheats, proving they can work on a fully updated game, and when typed perfectly. The alien baby is a result of the male Sim having been pregnant before the save was loaded. He was already set by the game to have twins, but I knocked it back to 1 by cheating. So if your Sim has twins/triplets and you don't want that many, you can go back to a previous save and use the cheats to get only one baby.

Problems with the Cheat
This was possibly added from a patch, so cannot be used on out-of-date games. Players who have a pirate copy are likely left out on this one. Additionally, the cheat will not work if you reload the file after entering it. You are overriding what is already determined when the Sim gets pregnant - the number of babies to be born, so you'll have what the Sim was meant to have. On leaving the game file, you'd have to enter it again, and anything that messes with the status of testingcheats may render the command invalid (such as entering create-a-Sim). So, if you use these, plan to stay home and save during the third trimester, and save just before using them. If the cheat was entered correctly, you can immediately go into labor using the speed up pregnancy cheat, so that nothing can go wrong in the meantime.

In Closing
This should help you get pregnant and care for your baby properly. From here, you can go on to learn about Toddlers and Raising Children and Getting Good Grades in School.

Raising Kids and Parenting in The Sims 4

Babies, Adopting, and Pregnancy
Toddlers and Learning to Walk, Talk, and Potty
Childhood, School and Children's Aspirations
The Sims 4 Parenthood Game Pack
Parenthood - Character Values from Raising Children
Sims 4 Expansion Packs

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Comments (405)

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New
Mesays...
My sim is not pregnant but she can invite people to feel baby and share big news ?? The try for a baby option won't come up but I only have 5 people in my family. I am SOOOO confused please help !!
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Admin
Playalotsays...
Try resting your sim. resetsim firstname lastname (where you use the sims actual names) Also quit out of your game and then delete the localthumbcache.package file from your The Sims 4 folder. Hopefully that will solve the issue.
Note if you use mods etc they could be causing this so check that all your mods and cc are up to date with the most recent patch.
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New
Mesays...
Thanks it worked perfectly
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New
Karolinasays...
I'm so confused- not matter what I do I only get boys! I tried the strawberry trick and got a girl but since then I got 5 boys?!?! Is the radio thing necessary?
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Admin
Playalotsays...
The in-game ratio stat should only effect the townies the game generates, not your played sims. If your sim listens to alternative music that will cause boys to be born as well. So make sure your sim only eats strawberries and listens to pop music. Also remove all mods/cc before trying again or at least ensure everything is up to date. I've found that 10 fruit each trimester works as well as listening to pop all the time.
There are no bug reports around this issue so I can only assume it is working as it should. If after doing everything 'correctly' with no mods you are still having issue filing a bug report might be a good idea.
EA: The Sims 4 Bug Reports
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New
pettysays...
It might be worth noting that with the City Living EP, you can use the "ley line" house trait (or is that available in the base game too? I know some of them are, not sure which).

As long as the baby is both conceived and delivered on the lot with the ley line trait, you're basically guaranteed twins. I've done it about three times so far; six babies, all twins.
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New
osasa kollarovasays...
does the fertility massage work even tho my sim is alrrady pregnant? or it has no effect then?
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Admin
Playalotsays...
No effect on pregnant sims it has to be done before trying for baby as far as I am aware.
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New
Beausays...
The command to have multiple children wont work for me. Any ideas
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Admin
Playalotsays...
Depends what you're doing. This cheat only works on sims that are already pregnant. Check that you have the correct sims ID, check for any typos, missing spaces etc. Make sure you are not going through a loading screen between using the cheat and the sim giving birth, so no traveling, or quitting/reloading , using CAS etc.
This cheat is really finicky to use so any tiny error will result in it not working.
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New
summersays...
Is there any way to know if the cheat for the multiple babies works ahead of time? I type it in then hit enter and nothing happens. I got the Fertile trait, just in case, but I'd still like to know. :)
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Senior
Playalotsays...
You can force the labor immediately after using the number of babies cheat. But apart from that if you have typed everything correctly and do not travel or use CAS.... any sort of loading screen while the sim is pregnant then it should all work as expected.
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New
Effiesays...
thanks a bunchTongue
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Regular
anonymoussays...
For some odd reason my game only let's you have one household at a time. If I want to make another household, the game wipes the other save. Anyone know what's up with this??Unsure
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Senior
Playalotsays...
Not sure as I am currently playing about 12 households in rotation in one save file and having no issues. Are you using the 'Load a Game' function as opposed to the 'Start a new game'?
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Regular
Alicesays...
Can the pregnancy cheat work on uncontrolled pregnant sims?
Ex. My male sim is expecting with his girlfriend but she is not apart of the household.
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Senior
Playalotsays...
No, you would need to be playing the pregnant sim but you could temporarily play her, use the cheats and have the nooboos and then mark her as unplayed and go back to your main household.
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New
tessasays...
My sims only had multiples every time. Every family is the same. How can I change it?
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Senior
Playalotsays...
Temporarily fill up the household with random sims leaving one space for the nooboo (if you only want one) then once the nooboo is born go into cas and delete the extra random sims. I'd also try deleting the localthumbcache.package file from The Sims 4 folder. It might be a cache issue. Also, if using mods/cc, take them out, delete cache and try in a new game.
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New
erikasays...
Does anybody know in which trimester the amount of children is decided?
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Senior
Playalotsays...
I think it is decided at conception.
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New
erikasays...
Thank you!
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New
AGsays...
Using this cheat, I got a household of nine Sims!! Is this a glitch?
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Senior
Playalotsays...
Yes, unless you are using mods that allow for larger households.Smile
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New
SonataBlazesays...
hey! i found a way to have twins (exact twins, i mean same babies with the twin award)
when your sim is pregnant you can just add the cheat to have your sim give birth immediatly, but you must not have already a baby bassinet, you must buy one after the cheat is put in, your sim is ready to give birth, the game will provide you a bassinet so your sim will give birth to twins cuz you have already a bassinet and the game provide you another one! :3 i tried it 2 times and it works, but wont works with triplets twins :( idk why
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New
Alexasays...
How do you increase the chance for my sim to have twins but, one is a Female and one is a Male?
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Senior
Playalotsays...
There is no way that I know that is reliable. People have said that eating both fruits can result in mixed gender twins but I haven't had that work for me.
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New
Kaydensays...
SleepLaughSmileTongueGrinWinkCoolBlush i like this! thanks! it helped out my fellow streamer friend..
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New
Steelsays...
I know this guide is old, and someone probably already said this, but I checked and the father of a baby (Father doesn't have Hates Children) and he had a Pre-Parental Panic moodlet, so it's not just Hates Children sims that do that Smile
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Senior
Playalotsays...
Thank you for pointing that out. Yes, it's a well known fact that all sims in the 'father' role will have pre-parental panic and as you say this guide was created when the game was very new. I'll get Carl to edit that asap :)
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New
Simgalneedshelpsays...
I had cheats enabled on the sims 4 and my girl just gave birth to twins and I shift clicked on one of the bassinet and one option popped up that was blank and then the baby was gone and the neglected child notification came up. I havent saved at all this game. How do I get the baby back?
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New
Simgalneedshelpsays...
The entire family is aliens too
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Senior
Playalotsays...
Once a baby has been taken away you can not get them back in-game. The only thing you can do is quit without saving and try again or go back to one of your earlier saves.
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New
Clairesays...
Is it sims.add_buff buff_pregnancy_in labor or is it jut one buff?UnsureHuh
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New
Olivia the Hogwarts Studentsays...
GrinGrin thanks :3 -apperates back to Hogwarts-
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New
Lillysays...
Crying i used it and it worked but then my game froze and shut down now my laptop is rlly slow and laggy do not recommend
Crying
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Admin
Playalotsays...
Sounds like your laptop is just or below specs. I've used this cheat and my PC runs fine. Cheats do come with a user warning though... after all they are outside 'normal' game play. Try shutting your laptop down completely manually and see if that helps.
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New
Chermell Ellissays...
my daughter loves this game
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New
Sims4eversays...
this cheats are so coolLaughLaughLaugh
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New
Jilliansays...
Can the CAS pregnancy options be toggled when needed such as if a lesbian couple has a baby by doing the selections of "Can get pregnant" and "Can get someone pregnant" on one Sim but let's say they want to have another baby but the other partner Sim wants to carry the baby. Can the options be switched at a later date?
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Admin
Playalotsays...
Yes just head back into CAS via the 'change sim' interaction on a dresser etc. Or use the cheat: cas.fulleditmode and shift click the sim.
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New
Jilliansays...
Thanks!
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New
clairelisebsays...
what is the household limit? If there is one, can you exceed the limit with the multiple births cheat?
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Admin
Playlotsays...
8 sims. This limit includes any pets as each pet takes up one sim slot. No cheats won't let you exceed the household limit but mods do. Try this one but at your own risk; make sure it is updated and still working etc http://modthesims.info/d/536556
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Regular
Lisasays...
Is it possible for a person to adopt your spouse's/partner's child? My toddler always gets sad when the actual mother is gone, and I'd like for him to see my other sim as a parent too.(:
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Senior
Playlotsays...
For this issue it wouldn't make any difference as toddlers with a certain trait always get sad when one of their parents leave even if the other parent is still in the house with them. Also, no... existing sims relationships can't be edited in CAS


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