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)

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New
Emma Msays...
Is there a cheat to change the features of you child as in eyes and lips?
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Admin
Playalotsays...
There is. You need 'testingcheats on' first then type:
cas.fulleditmode

Here's a link to the Guide on Cheats where you will find more information about how to use cheats.
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New
Keeshasays...
GrinGrinGrinSmileSmile CARL...CARL...CARL That was brilliant, i could not ask for a better exsplanation x I understand how to play fully now x It was a precious moment with sims 4, it's my life xxx
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New
Anonymous DanTDM Fansays...
Hi, how long does it usually take to get to third trimester, I've heard it's about three days.
Admin: Correct
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New
Anonymous DanTDM Fansays...
Hi, I would like to know if I can transfer unwanted sims from my friends?
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Admin
Playalotsays...
If you mean real life friends who also play the game then sure, you can just ask your friends to save them to the gallery and download the sims from there.

If you mean you want to move sims around different households within a game... also possible.
 Here's a guide on how to use the household management system.
Guide to moving sims
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Regular
Emmasays...
I'm new to sims 4. My sims family, the Almonds, have had one kid named Phillip, and another one on the way. the weird thing? Phillip skipped from child to elder. Im trying to get rid of him quick. how do I do that?
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Admin
Playalotsays...
Go into Manage Worlds>Household Management> choose the correct household>Edit, Add, Delete Sims>select sim and hit the 'x' above the sims small icon in the UI bottom left of screen. That will delete the chosen sim. Smile
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New
Anna Sturgessays...
Is it true that if two attractive sims have a baby it looks ugly?Unsure
I made two ugly sims have a baby and she came out beautiful.
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Admin
Playalotsays...
No, the sims genetics take a mix of both the parents features and those combined will 'make up' the children. Besides, beauty is objective, yes? What someone likes the next person may not like. So as long as you like your sims that is all that matters. You can always use the cas.fulleditmode cheat and change how your sims look anyway.
Cheats Guide
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New
Snowysays...
HELP!!
I used the remove buffs on my sim while she was pregnant and now she wont go in to labor. The buff thing doesn't even show and has not in 4 sim days. She was in 3rd trimester when I did it. What can I do?? Crying Scared
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Admin
Playalotsays...
Probably your best bet would be to try to roll back to a previous save.
There is a post on our forum explaining how to do this. Roll Back to a previous Save
You could also try to reset your sim 'resetSim <firstname last name>' I'm not sure if that would work though.
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Regular
Sophiesays...
Hi ! Thank you for this site ! It helps me so much!
I have a question, I would like to make my female sim have twins or triplets. (I have the spa expansion pack) So I went to the spa and I wasn't able to get her a massage.. (Fertility) She is in 1st trimester and she already is really big, I have already had many of my sims have babies but I'm curious because they didn't have as big a belly when they were in 1st trimester..
Anyway, so I then bought a massage table to put in her house, and hired a massage therapist, I wasn't able to give her a massage there either. One of the household sims got home an was able to get a massage.
Can a pregnant sim get a massage, or a fertility massage ?
Thank you !
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Admin
Playalotsays...
Pregnant sim can not get a massage on the massage table, they can get a foot/hand massage though. So the fertility massage is only effective if used before trying for baby. I've had sims with gigantic tummies that only had a single nooboo so really size isn't a reliable indicator of multiples. Often if you try for baby a few times in a row after you see that your sim is pregnant (thought bubble of building blocks or gagging reflex animation) you will have multiples. Don't use the pregnancy test if you are going to try this 'trick' as once the test is done the number of nooboos is already set. Sometimes this 'trick' can take 5 or 6 try for babies all in a row, 3 before you see the gagging or though bubble and then 3 after to try to ensure twins etc.
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New
deepshikasays...
i love sims four because its really fun
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New
wintersays...
It didn't work on my sim
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New
Kathleensays...
OMG I ACCIDENTLY TYPED THE LABOUR CHEAT ON MY PREGNANT SIMS HUSBAND (HE WASNT PREGNANT) AND IT MADE HIM PREGNANT WITH AN ALIEN BABY Scared
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New
Lilasays...
HELP! My Sim Gave Birth and 3 days after I Aged The Baby Up, Now There Invisable. I Put 'Testingcheats on' In The Bar. But I Can't Find Them Or Click On Them At All! If Any1 Knows How 2 Solve This, Plz Respond. Thanks! -LilaSmile
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Admin
Playalotsays...
Try clicking on a dresser to plan outfits, or scroll out until the cursor turns into a magnifying glass and have the household travel to a different lot.
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Regular
Kawaii-yanderesays...
My sim just had twins but in the relationship section it says one of the girls is not the daughter of the mother help please
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Admin
Playalotsays...
Once they nooboos are children you could use the cas.fulleditmode cheat and change the relationship that way. Make sure you check all the other household relationships while in CAS too as changing one sims relationship can change all the others.
Cheats Guide
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Regular
Kawaii-yanderesays...
Worked thx Smile
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Regular
Emmasays...
This is a great guide! Kudos for being so detailed. Hopefully this isn't already in here and I didn't notice it, But adopted babies cannot be breastfed. My sims, Diana and Alana were both family oriented, so since they couldn't conceive because they're women, they adopted a little baby named Naomi. I was wondering if this was just her, so when time came around to adopt another baby, it wouldn't work either. His name is Andrew.Blush
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New
rosemarysays...
Where can I find my sims 4 id number
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Admin
Playalotsays...
Type sims.get_sim_id_by_name firstname lastname to get the ID of the pregnant Sim.
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New
Sophiasays...
Thank you so much for the multiple births cheat! My sim gave birth naturally to twins at first, but then my game crashed! So it really helped me get back where I was before!
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New
awesome personsays...
SmileSadHuhLaughMadTongueCryingGrinWinkScaredCoolSleepBlushUnsureShocked this is a awesome guide thanks fr making it
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New
Louisesays...
It doesn't work at all I tried it 7 times and it didn't work
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Admin
Playalotsays...
Cheats can be tricky to use. They are all currently active so maybe make a step by step list of how to access the cheat you work to make sure you are doing everything correctly. Also mods and CC can interfere with cheats and normal game play so make sure that this isn't causing you any issues by removing all mods and trying again. Smile
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New
Aria Fitzsays...
How do you get your Sim's ID?
Thank you Smile
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Admin
Playalotsays...
With your sim selected and the game paused enter 'testingcheats on' into the cheats console. The type:
sims.get_sim_id_by_name firstname lastname
to get the ID of the pregnant Sim where firstname and lastname is the actual name of your selected sim.
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New
Aria Fitzsays...
Thank you soooo so so so muchSmileSmile
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New
Ailynnsays...
All the cheats that I used from this website worked Grin
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New
carlasays...
I need help carl. When fertilzing does it work. And Laughhow long does it last forLaughLaugh did you help make sims 4 on the past??????
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Admin
Playalotsays...
There is a great guide all about gardening here that Carl wrote. And no... Carl has had nothing to do with the making of Sims 4. He just writes awesome guides! Smile
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New
Zakkhan1says...
My sim had triplets and she actually lost weight I think that it is because she has the active trait therefore she was eager to executive despite the fact she was pregnant. I don't think it matters the amount of children the sim is pregnant with, if your sim is pregnant again have them run on the treadmill everyday as this will keep their body structure the same and will not harm the baby(s).
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New
Liliasays...
It's really nice and it help me really much with money and stuff.
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Regular
Ambersays...
This is amazing thanks Carl i dknt want to have a baby wen i grow up but i love how you can just have a baby in the sims and get experience
Have any of you fellow simmers have the new update? The male can get pregnant from the girl without having to do with aliens!! Pretty sick if i do say so myself
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New
Anastasiasays...
So today my Sims gave birth and I was greeted with a pleasant surprise- twins! However, none of my Sims possess the Fertile trait or had a Fertile massage. I don't cheat either. Is it possible that I increased the chance of twins by making my Sims Woohoo a lot while pregnant? Or was this sheer luck?
Gravatar
Admin
Playalotsays...
Yes, I use this trick a lot. If you have your sim try for baby after the newly pregnant sim shows the baby building block thought bubble or does the 'I'm feeling sick' animation this means that they are pregnant but because you haven't received the in-game notification yet you can continue to try for baby. I reliably get twins and triplets by doing this.


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