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

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

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 (383)

Gravatar
New
Ravensays...
The cheat isn't working. Is there a time and place on when to do it? Or am I just missing something? Sad Mad
Gravatar
Senior
MrsFlynnsays...
You may need to make sure you are using the cheats correctly. See link below for help.

Cheats not working *Fixed!*
http://www.carls-sims-4-guide.com/forum/index.php/topic,23632.0.html
Gravatar
New
ilovesimssays...
hi i am installing the sims 4 and i was wondering how many sims can be in your household?
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Senior
Playalotsays...
8 sims per household. Smile
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New
Tirzasays...
My sim hot pregnant and I don't want a baby. How do I terminate the pregnancy without a mod ?Scared
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Senior
Playalotsays...
You can't but what you can do is after the nooboo has been born is go into build/buy mode and delete it from there. Or age the nooboo up immediately and then the child and then the teen and then move the teen out of the household.
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New
Georgiesays...
The Cheat Dose not work for me I have tried a thousand times
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Senior
MrsFlynnsays...
You may need to make sure you are using the cheats correctly. See link below for help.

Cheats not working *Fixed!*
http://www.carls-sims-4-guide.com/forum/index.php/topic,23632.0.html
Gravatar
New
ItzNishasays...
Thank you sooo much!! Im doing the 100 baby challenge and this helped a ton!! TyyyyLaughTongue
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Regular
Ashleysays...
Hay i have typed the cheat to force twins how do i know if it worked??!!
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Admin
Playalotsays...
Well if your sim gives birth to multiples then i guess the cheat worked.
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New
idksays...
thankyou lol your cheat is the only one that worked for me Smile
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New
Ninasays...
In case you don't know... Apparently it's possible for male sims to get pregnant even if they're an elder. On this page it only lists YA-Adult, so I thought I'd mention it.
An elder male in my sim family was in his last days, was abducted, and became pregnant.
Totally didn't see it coming.
Anyways, thanks for all the info and guides you provide!
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Senior
Playalotsays...
That would have been a shock! We'll get the changes to the guide to reflect this. Thanks! Smile
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New
spoopyseasonsays...
when I try to type in sims.give_sim_id_by_name then I type there name, it doesn't work. I enabled cheats and it still didn't work Sad
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Senior
MrsFlynnsays...
How to get a Sim's unique ID number:
sims.get_sim_id_by_name [Sim's first and last names]
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New
Ingridsays...
I wish that the baby would age up to a toddler, than a child, like in Sims 3. I like how you had to teach it to walk and talk and all that. Also, it would be better and more realistic if a pregnant sim did something wrong and either they died, or the baby died during or after the pregnancy.
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New
Crankerbellsays...
Hi
Even though both parents have the fertile reward, they never have multiple births. All 4 pregnancies have resulted in a single baby. A couple of months ago two of my sims had twins, but since then, never.

On the other side of things, since i first started playing, i have never once had a negative pregnancy test. Thats 12 times at trying for a baby, and 12 positive pregnancy tests. Except for the last 4 pregnancies, none of the parents had the fertile reward.
I have never used a mod.
Is it actually possible to get a negative pregnancy test as your guide says?
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Senior
Playalotsays...
The developers have addressed this issue of multiples and single babies with some retuning. Yes it is quite possible to get a negative pregnancy test. My sims have had that fairly often.
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New
kittysays...
@Emma
sims.add_buff pregnancy_inlabor not only works but is somehow gave me triplets! Scared
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New
mouseysays...
none of these work! i tried all of them but they dont seem to work Unsure
Gravatar
Senior
MrsFlynnsays...
You may need to make sure you are using the cheats correctly. See link below for help.

Cheats not working *Fixed!*
http://www.carls-sims-4-guide.com/forum/index.php/topic,23632.0.html
Gravatar
New
hellosays...
You might want to include (in the section about twins and triplets) that at level 10 of the Herbology skill you can make the Elixr of Fertility, increasing the chances of twins or triplets. Tongue
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New
DeadlyGamersays...
OMG I wish I didn't quit my babysitting job then i would have money, this game, and some money left over for sim points at the store CryingCrying
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Regular
Samanthasays...
I got sims 4 get to work but I've still gotta get the WiFi connection going on my PC does anyone know how to get it on and working without a WiFi connection cuz I'd have to set it all up.
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New
Imogensays...
Is it possible to get more than 8 sims in a household? if so could you tell me how.
Tongue
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Senior
Playalotsays...
Not unless you use a mod. Smile
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New
Dallassays...
When my sims become children they end up being fat. It doesn't meet me edit it in create a sim. How do you fix that?
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Senior
Playalotsays...
Direct them to play on the monkey bars, a lot! Smile
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Regular
Amandasays...
:Sad when my twins age up there is no list of traits for me to choose from. help!!!
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Senior
Playalotsays...
Oh dear, sounds like you have hit a bug. There is a really useful section on the Forum with hints and tips how to deal with issues and game bugs. Try looking in the Technical Help section or even posting your problem in our Misc. Help section. Smile
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New
Ellasays...
thanks carl can you pls put up a cheat for editing your sims when you are not creating them thanks :)
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Senior
Playalotsays...
'testingcheats on' then 'cas.fulleditmode on' Smile
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New
tophiesays...
the cheats doesn't work for me help! please Smile Shocked Cool Grin Tongue
Gravatar
Senior
MrsFlynnsays...
You may need to make sure you are using the cheats correctly. See link below for help.

Cheats not working *Fixed!*
http://www.carls-sims-4-guide.com/forum/index.php/topic,23632.0.html
Gravatar
New
Marissasays...
this helped alot thank youSmileTongue
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New
Morgansays...
Doing yoga helps loose weight very fastly so after a pregnancy if you buid up on the wellness skill you sim will be back to normal in no time Smile
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New
Me little Spotdogsays...
Smile Thanks
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Regular
Laurensays...
i tried the cheats to make the sim have lots of kids but im not sure if it worked. is there a way to tell?
Gravatar
Senior
Playalotsays...
Well, if it has worked soonish your sim will get moodlets relating to her pregnancy. Smile


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