Though it is a Life Simulator,Sims 4, like other games in the Sims franchise, has always been a little zanier than real life. Some Simmers prefer more realistic gameplay, however, and that is often where mods come in. Mods can flesh out aspects of the game that feel underdeveloped to create a more lifelike experience, even if that might just mean more trouble for the player.

TheSims 4modding community has created many downloadablemods that completely change gameplayand increase realism, particularly when it comes to health and wellness. These mods add everything from realistic illnesses and allergies to more realistic pregnancy and mental health. As of the time of writing, all the mods on this list still receive regular updates from their creators to work with EA’s regularSims 4updates, but checking the mod’s page for the most recent version of a mod and its compatibility with the current version ofSims 4is always worthwhile.

Skincare Set Sims Mod

10SeaSim Skincare Set By Platinumluxesims

A Nice Cosmetic Addition

Skincare is an important part of wellness, and Sims can proudlydisplay their skincare items on a bathroom counter or vanity tablewith theSeaSim Skincare Set by platinumluxesimson CurseForge. This small mod adds skincare clutter items to the Build/Buy menu that can be used to help decorate a Sim’s home.

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Unfortunately, the skincare items in this mod are not functional and only serve as decoration. Other mods on this list, including Slice of Life, introduce skincare toSims 4in a playable way.

A couple Sims looking happy in front of fireworks.

9Fitness Set By Syboulette

Exercise With Options

Similar to platinumluxesims' SeaSim Skincare Set, theFitness Set (2021) by Sybouletteadds22 gym items to allow players to create the perfect fitness center for their Sims' home or neighborhood. These include everything from dumbbells and free weights to exercise balls and workout machines.

The fitness machine items in the Fitness Set are fully functional and can take the place of existing workout equipment in theSims 4base game. The rest serve as decorations that can help fill out a modern gym facility.

A Sims 4 infant wearing glasses stares at the viewer

8Healthy Sim Living By PandaSama & Adeepindigo

Work Out In Style

Most mods by adeepindigo have other requirements to work properly. These includeGeneral Pie Menus,Lumpinou’s Mood Pack, and some custom object mods. These only need to be downloaded once and can be used for all mods that require it. Healthy Sim Living in particular only requires General Pie Menus.

The Healthy Living mod makes changes to the existingSims 4calorie system for all food and drink in the base game, as well as to the base game metabolism and metabolic rate systems. It also introduces supplements and weight/muscle changes based on diet and exercise.

A collage of Sims from he Sims 4 Sweet Slumber Party kit.

7Eye Care By Adeepindigo

Glasses Aren’t Just Fashion

Sims can now have prescription glasses and contact lenses and visit the eye doctor to diagnose various conditions thanks to theEye Care mod by adeepindigo. This mod is one of many of adeepindigo’s realistic healthcare mods and includes a hidden system that assigns Sims eyesight from good to poor and allows eyesight to deteriorate over time with age and certain activities. Sims can go for routine eye exams, vision insurance, laser eye surgery if deemed eligible, and even develop eye conditions like Glaucoma and Cataracts as they age.

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This mod is base game compatible and is even compatible with other healthcare mods like Healthcare Redux, Private Practice, and Slice of Life. It also requires the General Pie Menus to use.

A couple of sims from the Sims 4 crying and looking sad.

6Slice Of Life By KawaiiStacie

A Classic That’s Still Relevant

Slice of Life by KawaiiStaciewas once a must-have mod for realisticSims 4gameplay before many of the more recent DLC packs arrived. Despite this,Slice of Life has recently undergone an overhauland is still a fantastic mod specifically for introducing health and wellness aspects of life toSims 4.

Installing the Slice of Life modintroduces health features like colds, flus, stomach issues, and seasonal allergies.It also includes some WooHoo and reproductive wellness features, beauty features including daily hairstyling and skincare routines, and realistic appearance and mood changes related to alcohol consumption. The mod is still undergoing development, with more planned features and changes coming with future updates.

Imagery from different Sims 4 realism mods – a child hugging a stuffed unicorn, a man been killed, and a woman brushing her teeth.

5Divergent Sims By Adeepindigo

A Realistic Treatment Of Mental Health

While physical wellness has lots of representation inSims 4DLC and mods, mental wellness tends to be fairly underrepresented. TheDivergent Sims mod by adeepindigointroduces neurodiversity, mental health conditions, and treatmentsfor Sims of all ages, and several addictions for older Sims. This can add some much-needed realism toSims 4gameplay.

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The mod includes 25 conditions that can add buffs and moodlets to affect Sims' day-to-day lives. Sims can seek treatment with a combination of medication and mental health services, available by visiting a psychiatrist.Medications can have side effects and varying levels of efficacy, however. The mod also expands on the Self-Esteem and confidence features introduced inThe Sims 4: Growing TogetherExpansion Pack. This is a deep, inclusive mod that explores an area of wellness that is not well-covered in the standard version of the game.

Sims 4 Baby Shower event showing a pregnant woman talking to another Sim.

4Dental Care By Adeepindigo

Teeth Can Be Trouble

Similar to Eye Care,Dental Care by adeepindigointroduces another realistic aspect of healthcare toSims 4: dentists, tooth conditions, and even infant/toddler teething.The Dental Care mod will allow Sims' tooth health to decay over timewithout proper care. Sims will need to purchase supplies like toothpaste, toothbrushes, and mouthwash and take care of their teeth to avoid developing cavities. There is also a chance they could chip a tooth or develop conditions like toothaches and loose teeth. Sims will need to visit the dentist for regular check-ups to diagnose and treat conditions.

NearlyeverySims 4life stateis represented in this mod. Toddlers can experience teething, Kids and Teens can get braces, Teens and Young Adults can have their wisdom teeth removed, and Adults and Elders can have a chance to need implants or root canals. This mod is base game compatible and requires the General Pie Menus, Lumpinou’s Mood Pack, andSandy’s Dental Care Objectsfor functional tooth care items like brushes and toothpaste. This mod will conflict with Faster Teeth Brushing, which has already been incorporated into the files.

A functional hospital check-in area in Sims 4 created using Private Practice mod items.

3Relationship & Pregnancy Overhaul By Lumpinou

WooHoo With Authenticity

Lumpinou’s Relationship & Pregnancy Overhaulmod (formerly WooHoo Wellness) is a modular collection of mods that changes everything about Sim relationships, pregnancy, and WooHoo wellness. The collection includes 19 individual mods that can work alone or as a set, introducinga range of holistic wellness features including WooHoo protection and a chance to develop and seek treatment for WTDs(WooHoo-Transmitted Diseases). These conditions have a Sim name as well as their real-life counterpart name to help educate players.

Modular mods allow Simmers to select what they want included in their game and what they would prefer to leave out. Players can download all parts of the Relationship & Pregnancy Overhaul mod, or select and download only the sections they want.

Sims from sims 4 looking confused and thinking with a sims from sims2 taking a bath

Relationship & Pregnancy Overhaul also helps improve theSims 4pregnancies and special pregnancy circumstances, which aren’t as fleshed-out in the base game. There is much more to this mod than just healthcare, but health and wellness are at the heart of it.

2Private Practice By SimRealist

Thorough Trips To The Doctor

While many health and wellness mods are not functional or introduce physician visits that are mostly rabbit-hole events,Private Practice by SimRealistallows players toplace a clinic or hospital somewhere in theirSims 4world and visit it with their Sim when they are experiencing a major or minor health condition. Sims can make appointments at the clinic, and players can go through the goaled event of their Sim’s visit with a healthcare professional.

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Private Practice introduces new health conditions like colds, flus, stomach bugs, ear infections, strep throat, and even special environmental allergies related toeachSims 4worldand Heart Attacks that can happen if Sims routinely experience high blood pressure. Sims can even purchase and use functional medications from the pharmacy to treat their chronic and acute conditions.

A doctor Sim checks into the ear of their patient.

Always check a mod’s description and instructions to find out how to install it and whether it will conflict with otherSims 4mods.

Players will need to haveThe Sims 4: Get to WorkExpansion Pack to use this mod. They will also need to make sure they don’t have any mods that conflict, including the More Buyable Venues mod by LittleMissSam.

1Healthcare Redux By Adeepindigo

The Ultimate In Sims 4 Healthcare

Right now, the undisputed best health and wellness mod for realistic gameplay inSims 4isHealthcare Redux by adeepindigo. This modoverhauls the entireSims 4health and illness system, adding new illnesses, injuries, chronic conditions, allergies, medical emergencies, and pregnancy related health conditions, as well as preventative care.

Sims receive a hidden immune systemthat can leave them susceptible to major and minor illnesses, chronic conditions, and even deadly diseases. They can visit doctors for routine check-ups and specialists for chronic conditions, then visit a rabbit hole pharmacy to fill a prescription or order medications online to relieve symptoms. They can also get vaccinated, give blood, and get health insurance.

Healthcare Redux does not conflict with Slice of Life or Private Practice, so it is possible to use all three if desired.The mod requiresGet to Work, and some of the optional features require the following packs:

These packs are not required to use the mod, however, and it will function equally well without them. Players will also need to download General Pie Menus, Lumpinou’s Mood Pack, and Sandy/ATS' Required Functional Medications. Installing health and personal care mods inThe Sims 4isn’t always simple, but when it comes to the best, it’s usually worth it.

Sources:platinumluxesims/CurseForge,Syboulette/CurseForge, adeepindigo/itch.io (1,2,3,4,5)KawaiiStacie,Lumpinou Mods,SimRealist/itch.io