The Sims 4 Get to Work: Doctor

Treating, Diagnosing Patients & Career Rewards

A Doctor in The Sims 4 Get to Work
A Doctor treats a patient in The Sims 4 Get to Work

The Sims 4's Doctor Career comes via the Get to Work Expansion Pack and is one of the most challenging Careers I've ever covered. In this Career, you will start with janitorial duties, interruption of actual Doctors with socials, and patient relations and proceed to being able to run your own tests and diagnose patients. As you go forward, the Career gets more defined although menial tasks will still pop up as objectives. You will eventually be able to perform surgeries and deliver Sim Babies as you advance, while your Sim will also have a clearer picture of what is wrong with the patient as they progress. The Doctor's Career level determines success rate with many interactions. Try to take care of patients as much as possible, and do not misdiagnose them, for fear of losing job performance! This guide should help you with those things, as I have a list of symptoms of each illness, while I'll also share the Doctor's career schedule and rewards.

How to: Doctor Career Cheats
Press Control + Shift + C then type testingcheats on and press enter. You can now get promotions with careers.promote doctor - you can also see all Career Cheats or visit a full list of Cheats in The Sims 4.

Sim Hospital in The Sims 4 Get to Work
The Hospital in Get to Work

The Ideal Mood for this Career is Focused, though it only helps to raise your Sim's work performance bar and does not factor into diagnosing patients. This is best done by using 'Ponder Moves' on a chess table before work or using Browse Simpedia at a computer. While at the hospital, you can use the computer to 'Research Health Reports on Medical Journal' and remain Focused (+2). This helps a lot. You can also hang Mathematical Diagrams (via Logic with an Easel) in the area where Patients are treated. For those who wonder, Logic does not factor into diagnosing at all. Only the symptoms narrowing via Doctor job rank and your own observations.

A misdiagnosis can cause a hit to career performance for Doctors
A mis-diagnosis is a bad thing for a Doctor. You'll take a performance hit when you're wrong about a patient's ailments.

General Advice for Doctors
At level 1, you won't have much to do regarding patients. Try to do things that are nearby in order to raise your performance. You have two days to get promoted, so it should be easy. Don't stay late, because two days is plenty of time to get your first promotion. At level 2, when your objectives change to feature more of treating patients, look for those that have already been diagnosed. This is required for the promotion. They should have a flashing red over them. You can administer the medication, even if you're not quite ready to deliver a full diagnosis. Your Career Performance will go up as you treat patients, though you may have a harder time finishing objectives within the 10-12 hour shift if you do too much of this. You get the little bumps from treating patients, and a big bonus at the end of the day based on the main bar at top left.

Talking to Co-Workers is a big part of the early levels
The first couple levels, you'll have to talk to co-workers a lot. Thankfully, it will get you through to more interesting objectives.

At level 3, you should see more medical tasks - lots of 'Examine Patient' interactions. You can then Transfer Case to a Doctor after you have done enough tests. Let new objectives come in as you clear them, so that you don't waste time. You may be called to do temperature, then check eyes. Pause to be more time-efficient, as objectives take a moment to come in. When you need to transfer a case, get a Doctor in conversation then use the 'Transfer' interaction to complete this objective. You may need to perform more tests to transfer the case. Again, look for patients with red flashes to deliver treatment. They've already been diagnosed and are ready for medicine.

Chemical Analyzer
The Chemical Analyzer is used to test patients' swab samples for diseases

When you do not have a patient to analyze, look to the front desk. You can admit patients to the beds yourself, and will often be forced to. Calibrating the X-ray machine gives you a Focused moodlet. You'll sometimes need to do this in order to get a better X-ray of a patient - Calibrate then 'Refer to X-Ray Scan' on the patient, later found under the Medical Referral menu. Know that the X-ray machine can be upgraded to feature faster scanning and become unbreakable, so long as your Sim has the Handiness Skill. At level 8, you can also upgrade the Analysis machine to make it unbreakable.

The Treadmill test is used to diagnose illnesses
The treadmill test may result in narrowing down your diagnosis, but isn't really effective use of time until higher levels in the Career.

Mid Levels
Levels 4-5 can be a little tough, because you're not quite able to diagnose a lot of patients and will fail things like treadmill tests. Try to avoid those until later, while focusing on completing objectives to raise your performance. Try to get the two diagnoses down, but do not fail on them or you may end up losing huge chunks of performance - like a whole day's worth. Make sure you're right by looking at our symptoms list. It may not be as hard for you as it was for me if you can use the process of elimination along with the 'Diagnosing Patients' section below.

A Sim patient with burning belly
This Sim patient has burning belly, a nasty stomach illness that requires surgery

It gets a bit harder to advance from 5-7. Once you need three surgeries, you already have a decent job as a GP, but it will take time to need to do three surgeries. Sims may come in collapsed and need emergency surgery. Just keep at it, and some Sims will eventually need them based on your diagnosis. It may take 2-3 days of work, for there are only the emergencies and three rare types of illness that require surgery. It's easier after that, but you still do some waiting. If you like, you can misdiagnose Sims with Triple Threat or Burnin' Belly, which both require surgery, but that would be unethical!

You will get the ability to boss your coworkers around, but this won't do much, unlike in the Scientist Career where coworkers get promoted and can even be ordered to gather collectibles for you.

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!

Diagnosing patients requires you to assess their symptoms
Diagnosing patients requires you to narrow down the symptoms and use some visual cues to help you figure out what's wrong

Diagnosing Patients
Remember, you get only ONE chance to diagnose a patient, and when you come in the next day that patient likely has an entirely different illness. It's random. Logic does not matter for this, nor does being Focused.

The more tests you run, the further you can narrow down a patient's diagnosis. But you will hit a wall and sometimes be left with 2-3 options. Try to do those tests that are tied to objectives, but remember that treating patients also boosts your performance. When possible, do more tests to clear objectives even if you know what ails a Sim. It is more important to do the successful treatments than the objectives, so long as you get silver or up.

A child sim patient in TS4
A child Sim has diagnostic tests run. This will help to narrow down the symptoms to a specific sickness

The difficulty in this Career comes when you do not know exactly what is wrong with a Sim and can't get it narrowed down further than two or three illnesses. You should be sure to play on speed 1 and watch the patient. Do a test, then back off them and do something with another patient sometimes. This can let you observe the first patient's idle animations. Also, once all tests are done you can initiate regular conversations with them, then back off again. This sometimes gets the symptom animations to trigger.

After you've analyzed a swab, you may later take another, which sometimes will yield a direct result. Here are guidelines for assessing a patient's symptoms, some of which were provided by Dellena on our Forum. We also had extensive help with this list from officialghosts, to whom I owe a lot of thanks for their detail post on the matter, as well as images of symptoms to help you all!. Amaiyasai also contributed information on missing illnesses. Thanks to everyone involved, this guide is much better.

This is by a fairly comprehensive list, and should help you to rule out illnesses. See below the list for images of some symptoms, as well as a breakdown of symptoms and what diseases they could be:

A Sim with a rash
Different rashes come with different illnesses. At the least you know they're definitely sick.

Diseases and Their Symptoms

  • Rashes - These may present with any number of illnesses, so don't think right away it's itchy plumbob. They are meant to be indicators a patient is really sick, so you can rule out 'Not Sick'. Some rashes only present with certain illnesses. There are three types: swirly, orange and green spots, and tiger stripes.
  • Sweaty Shivers - The patient may itch.
  • Bloaty Head - look for the patient appearing to have a headache, and sometimes steam coming out of their ears. It is possible they can have orange and green spots, but primarily look for the steam.
  • Starry Eyes - Gets dizzy and shows stars over their heads. They may also swat at invisible objects in front of them. If you see them swatting, it is surely starry eyes. They may also have a swirly rash.
  • Llama Flu - The patient may shiver (fever), have a cloud of gas around them, cough, and sneeze. This sometimes presents with orange and green spots-type rash.
  • Gas and Giggles - The patient will fart and giggle at random times, and sometimes presents with a tiger-stripe rash. Watch their idle animations for lots of laughing. Laughing itself is not necessarily a symptom, but they may appear to do so uncontrollably.
  • Triple Threat - Dizziness, coughing. but lack of swiping as with Starry Eyes, and lack of fever as with Llama Flu. Requires surgery.
  • Itchy Plumbob - May present with a rash (tiger stripes or orange and green spots) and the patient may itch a lot. You can tell this apart from Sweaty Shivers by the presence of the rash.
  • Burnin' Belly - Visible stomach pain, maybe fever. Requires surgery and is a rare illness - perhaps the most rare of the diseases Doctors can diagnose.

The following set of images are courtesy of officialghosts on our Forum. Use this to help you narrow down illnesses, as I've used their list to help connect each symptom to a disease. If they have one of these symptoms, look up the illnesses above to see if they have other symptoms! You got this. The process of elimination is your friend.

Swirl Rash
Swirl Rash: it could be starry eyes or triple threat
Tiger Stripe Rash
Tiger Stripe Rash: could be gas and giggles or itchy plumbob
Orange and Green Spots Rash: could be sweaty shivers, itchy plumbob, or llama flu
Dizziness: could be starry eyes or triple threat
Fever: could be burnin' belly or llama flu
Headache: could be bloaty head
Stomach Ache: could be burnin' belly or gas and giggles
Swiping: a telltale sign of starry eyes is the patient swiping, looking like they're trying to bat away a fly.
Cough/Sneeze (no image): could be llama flu or triple threat
Smoke out Ears (no image): you'll know when you see it - it's bloaty head.
Itchiness (no image): could be sweaty shivers or itchy plumbob

Treating Patients
Diagnose an illness by selecting it when you're sure, and the treat option will come up. You'll know right after administering treatment whether it was a success or failure. Find this option on the social menu after you diagnose. Surgery only comes up with Triple Threat, Burnin' Belly, and when you need to deliver a baby at level 8 and up.

House Call
House Calls give you Career performance, but aren't necessarily the best use of your time

House Calls
Sometimes, your Doctor will get put on a house call to treat one or more patients. Click the front desk to do this. If you can't arrive within a couple of hours, they will seek help elsewhere. I skipped these a lot of the time, because they came up when I needed surgeries (later learning that you can sometimes refer a Sim to surgery while on a House Call). You can earn plenty of performance just doing duties at the hospital. However, it is time-efficient. You get a nice chunk of the day's performance for delivering the medicines.

The X-Ray machine can be upgraded to be faster
The X-ray machine may be upgraded to be faster and auto-calibrate with Handiness. You can also make it unbreakable.

Treadmill and X-Ray tests
Find these under the Medical Referral social menu. These can help to narrow down illnesses, but will have a high failure rate until you're level 7+ in the Career. Until then, try to avoid them or else make sure that your Sim is Focused. A visit to the computer to get a moodlet beforehand can really help with this. Sometimes, you DO have to run the test twice, as the game indicates. They can be super helpful once your Sim is qualified to analyze the results of both tests.

Delivering a Sim Baby in The Sims 4
A Doctor delivers a Sim Baby in The Sims 4 Get to Work

Delivering a Baby
This is a work emergency, which will only come up once your Doctor is level 8 and above. It's required to reach level 9. You've simply got to wait this out, and be sure to prioritize this over other patients.

Surgery in The Sims 4
Surgery is required for triple threat, burnin' belly, and delivery of Sim babies

Understaffed Day
There are sometimes days when your Doctor will have to do things like mop puddles, even as a surgeon. These occur on understaffed day, and may be annoying. You can tell if this is a result of a special even by mousing over the top-left workday meter.

Common Objectives
Here are some how-to's and efficiency tips for common tasks:

  • Make Bed - Sometimes there isn't a bed to make. Do other objectives
  • Mop Puddle - look about the hospital rooms for puddles. Don't let the Sim wander about cleaning unless there are more objectives
  • Chat with Co-workers - You can use the same co-worker multiple times to fulfill this
  • Transfer Patient Case - Early on, you will need to do this when you're not qualified to diagnose the patient yourself. I was unable to do it directly, possibly because of a bug. What you can do to get this to go through is get a Doctor (lab coat) chatting with you, then transfer the case.
  • Work Emergency - Record Emergency Analysis Data - Click the front desk, then examine the samples and input data into a computer.
-->

Doctor Career Levels

Doctor career unlocks and uniform
Doctor Career Unlocks and Uniform at level 10, Chief of Staff

Doctors at level 8 get the Sickness Resistant Trait, which will reduce or eliminate the chance they get ill. You will eventually learn to tell the gender of an unborn baby by talking to the mother (level 6) or father (assuming he's impregnated by an Alien!), and may also give medical advice to Sims.

RankJobWagesSchedule$/DayDaily Task & Promotion RequirementsReward for Promotion
1Medical Intern$18/hourFri-Tue 7AM-3PM$144/dayAttend an active work day at the Doctor Career venueN/A
2Orderly$23/hourSat-Wed 7AM-3PM$184/dayTreat Patients (2)$192, Doctor Xavier Ray's Display, Not So Blind Eye Chart, New Clothes
3Medical Assistant$35/hourSun-Thu 8AM-4PM$280/dayTreat Patients (3)$256, X-Ray Machines are now available for use at work to scan and exam patients, You can now Give Medical Advice, You can now Give Bad Medical Advice with Level 3 Mischief
4Medical Technologist$49/hourMon-Fri 9AM-5PM$392/daySuccessfully Diagnose and Treat a Patient$312, Defeat the Darkness Surgical Light, Medical Treadmills can now be used further examine patients' conditions, New Clothes
5Assistant Nurse$68/hourTue-Wed, Fri, Sun 6AM-4PM$680/daySuccessfully Diagnose and Treat Patients (2)$384, Restless Thankless Medical Stool, Surgery Tables at work can now be used to treat the most severe patient conditions, You can now Check Hotness
6R.N.$95/hourWed-Thu, Sat, Mon 7AM-5PM$950/daySuccessfully Diagnose and Treat Patients (3)$576, Doctor of Medicine Diploma, Can Now Determine Baby Gender on Pregnant Sims
7Doctor - General Practitioner$135/hourThu-Fri, Sun, Tue 8AM-6PM$1350/dayPerform Surgery on Patients (3)$816, Seat of Health, New Clothes
8Medical Specialist$195/hourSun-Mon, Wed, Fri 9AM-7PM$1950/dayDeliver a Baby (1)$1136, The Diligent Doctor's Desk, Sickness Resistance Trait
9Surgeon$245/hourWed-Thu, Sat, Mon 9AM-7PM$2450/daySuccessfully Diagnose and Treat Patients (5)$1496, Skelly Sim
10Chief of Staff$280/hourMon-Tue, Thu-Fri 9AM-7PM$2800/dayGo to Work$1720, Also unlocks styled room "General Hospital" that costs $7,685

Other Get to Work Guides

Expansion Guide
Retail Guide
Retail: Customers and Sales
Retail: Employees and Managing
Retail Perks in Get to Work
Aliens
Baking Skill Guide
Photography Skill Guide
Detective Career
Doctor Career, Diseases and Diagnosing Patients
Scientist Career
Planet Sixam (Alien World)



Sims 4 Career Guides
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Comments (74)

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New
Isabellasays...
I'm at the R.N. level of the doctor career and my patients just stopped showing any symptoms. They don't do anything besides sit there and breathe. They don't even have thought bubbles! I started diagnosing people as "No Illness," and despite the first one being correct, the next one said something about the patient getting a second opinion because of how obviously sick he is. BUT HE DOESNT SEEM SICK AT ALL!!! Is this something that happens at this level of the career or do I have some sort of glitch? I'm playing on a mac and have had tons of glitches before (esp. in detective career) but i don't know how to deal with this one!!
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Admin
Playalotsays...
It is a glitch. I have this happen too. The patients would have symptoms at reception but as soon as they were on the beds there were no symptoms. I had to basically guess at their illness from what I could see when they were in reception.
make sure you have no decorations other than what was in the original hospital set-up. Especially no auras. Often a environmental moodlet can stop illness symptoms.
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New
Isabellasays...
thank you! i realized thats exactly whats happening so I've started choosing people from reception that display obvious symptoms so it's easier. i don't think I've enabled any auras and i definitely haven't changed the hospital at all but ill have to double check, thanks again!!
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New
Hoshi Sasayakusays...
Crying This review is not correct. Twice I have used it to help with diagnosis and both were wrong! I had one for either bloaty head or llama flu. I followed the advice and it was wrong. The person was coughing and shivering but had bloaty head... Wonderful review but this NEEDS to be looked over again UnsureCrying
Gravatar
Senior
Playalotsays...
Until your doctor levels up their diagnosis will fail. The game is coded to do this. It's unfortunate and I personally do not like this aspect of the career at all. Even having your doctor in the correct mood the entire work day does nothing to over-ride the failure chances. You just have to grind your way through the levels until the failure chances improve.
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New
Luckysays...
Hi, I noticed you didn't have a pic for steam coming out of the ears so I got one for you: http://imgur.com/hb3IeuU

I didn't know where to post it in the forum so I thought it would be better to post it in direct reply to the guide. Thanks for doing all these btw, they vastly improve my game experience
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Regular
gracesays...
One of the patient in my game had one eye that was significantly smaller than the other one is this just a glitch or a symptom???
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Admin
Playalotsays...
Glitch.
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New
Megan Filersays...
Do the patients ever leave on there own, or do I have to ask them to leave?
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Admin
Playalotsays...
Basically if patients leaves it is because they have become 'dissatisfied' with the service and so is seen as a 'fail state'. The doctor career functions like a mini time management game until the higher levels really. When you have successfully treated a patient they will automatically vacate the patient bed but you will get a message letting you know that you have successfully cured the sim.
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Regular
Alliesays...
I am having a really annoying issue. When I admit a patient to an exam bed, the Doctor will walk into a room where a patient already is and stand there for at least 15 Sim minutes before walking to another room. If I cancel referral, the Sim won't do anything until the patient is on a bed.
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New
Elensays...
I'm having an issue where no pregnant sims are coming in to deliver their baby. It's been 4 sims weeks and still nothing. Can anyone help?
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Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Links to Cheat Guide
EA Bug Report No Pregnant Sim in Doctor Career
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New
Steviesays...
I had the deliver baby day event come up, but no pregnant sims came in. Will it cycle back eventually?
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Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Links to Cheat Guide
EA Bug Report No Pregnant Sims in Doctor Career
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New
Boxxietrollssays...
Hey, guys, my sim guy is in the doctor career, and I just wanted to share something important with you! If you decide to remodel your hospital, do not change the color of your surgery tables. If you do, it glitches out, and you will not be able to do surgeries. I panicked because I could not advance in my career.
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New
Georgsays...
Does anyone know about the upper left green bar over the objectives? I'm curious about why it is separated into 3 sections. And that doctor symbol that moves across it. How do these elements relate to the gameplay? The game doesn't really elaborate on the interface relevancy, and I want something specific rather my own assumptions.

*Also, I'm level 8 right now and I have been getting an excellent work performance. My only problem is that I diagnose my patients quicker by not following the list, but I think I'm not satisfying the game's coding for it to generate any pregnant sims. I've hit a wall and I'm really frustrated because I've tried every imaginable measure to make sure a pregnant sim appears. I know that the game discriminates and uses the unplayed households list. And I've tried increasing my chances by editing male sims in CAS to enable a pregnancy.

Any other ideas besides waiting for the game to generate these sims? I'd really appreciate the help Blush
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Admin
Playalotsays...
No pregnant sims turning up is a known bug. See my replies above for the links to more information and The Official Bug Report.

The green bar is simply your sims work progression meter indicating how well they are meeting the days requirements.
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New
Martasays...
My sim just aged up into a child, and I am planning to make them a doctor when they become a young adult. I came on to this website looking for good personality traits fo use on my sim so they become more successful easier in this career. But they didn't have anything about it. Alas, after reading it I realized that they should be focused a lot if the time so I gave him the genius trait. I just wanted to post this for anyone who wants to have a doctor sim and need a lil bit of help Wink
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Senior
Playalotsays...
Traits don't really matter in TS4 but emotions can give good performance boosts which is why Carl specifies that sims in the doctor career need to be focused. There are many ways to do this as it is an active career, so in some ways choosing Genius is a waste of a trait as you can easily get a far more reliable focused moodlet in other ways than waiting for the random moodlet the genius trait sometimes dishes out. One of the easiest ways if to hang a mathematical diagram in the work place and enable to aura as well as directing your sim to view the focused diagram to get the focused moodlet. That way your doctor sim can be focused for the entire work day, not just for 4 hours.
All of this is explained in the Guide by Carl.
Traits don't add skill learning buffs to sims like they did in TS3, it is the emotions that do that so any sim with any trait can learn any skill at any speed. So for example if your sim drinks the Amygdelight mixology drink it gives a 4h +2 Focused Moodlet that also grants a boost to effective skill level in video gaming, rocket science, logic, and programming. Is fairly helpful with the doctor career while your sim is at work as it is a +2 moodlet instead of a +1. But it makes a decent difference when skilling up.
Guide to getting Focused
Mixology Guide
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Regular
Barbarasays...
I finally get a "deliver baby" command but a pregnant Sim never shows up. Is that normal? Anyone else have that problem? That's all I need for her to get promoted to 9.
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Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Link to Cheats Guide
EA Bug Report No Pregnant Sims in Doctor Career
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Regular
Barbarasays...
Thanks so much, you guys are always so helpful, love this site. Hopefully they fix the bug soon.
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New
Shadowsays...
So I'm playing the doctor career and I've been playing for about almost two weeks. I still can't get the pregnant lady to come in. For the past two days I have not misdiagnosed any patients, completed tasks until gold, I've had my modlet to focus and upgraded all my machinery. I've done all I can think of and still nothing. Any advice? Unsure
Gravatar
Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Links to Cheat Guide
EA Bug Report No Pregnant Sim in Doctor Career
Gravatar
Regular
Ryansays...
any tips on getting to level nine? my sim isn't getting any pregnant sims and she's been stuck on level eight for about a week.
Gravatar
Admin
Playalotsays...
As per my posts above:

This is a known bug with an open bug report. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Links to Cheat Guide
EA Bug Report No Pregnant Sim in Doctor Career for reference EA Bug Report

This particular bug was fixed in Patch 1.32.1 but it is most likely not retroactive so you may still have issues in older games.
Gravatar
New
buğsesays...
i edited the hospital but just changed the colours of the rooms and objects. after that when i diagnosed the patients (guaranteed diagnosis) i can't treat them. it says "there are no currently available objects present to perform this interaction" what can i do to fix this?
Gravatar
Admin
Playalotsays...
Change the color of the work related game play items back. For some reason the game doesn't recognize them when they are changed.
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New
Clairesays...
If I'm playing with a sim a pregnant sim, can I ask a level 6 doctor the gender of the baby? and if you can will they tell you if you are having twins or triplets.
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Senior
Playalotsays...
Only if the doctor is part of your active household. The doctor sim can tell the gender but that is all. If you are not playing the pregnant sim and the doctor sim then this option is not available.
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New
Devynsays...
I have pictures and a symptoms list combined here if anyone is interested.
https://imgur.com/a/fudwP
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New
Rileysays...
I had my first Burnin Belly patient today. She had a symptom I'd never seen before - she was sort of swatting and a little thought bubble popped up that looked like a photo of her intestines.
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New
Debsays...
Can you stay in work longer?
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Senior
Briansays...
Glad I read this! My hilariously unqualified sim started at the third rank because of fame perks, I thought she was failing at all attempts to diagnose because she only had Logic level 1. I even had Summer Holiday turn up, obviously pregnant and in labor, but my sim couldn't figure this out. So at this level, you waste their time for a while, then refer them to a real doctor.
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Admin
Playlotsays...
lol @yr sim not being able to figure out Summer was pregnant!
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Senior
Briansays...
I know, right? She may well have also had a separate illness, but she was huge, feeling very uncomfortable, and occasionally stood up and groaned loudly.
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New
Titossays...

My sim is level 7 in this career but the referral menu has disappeared! What do I do?

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Admin
Playalotsays...

Save your game, quit and then delete the localthumbcache.package file from your TheSims 4 folder. Hopefully that should fix the issue.

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New
Derek Prichardsays...

Sweaty shivers can also have a fever. I failed a couple of times because I would always select flu when they had a fever and burning belly wasn't an option.

Gravatar
New
IREYANA DEEMERsays...

I have been The Sims since 1998 I am a faithful player so much I crave out time in my day to play at least 5-6 hours a day. I recently got diagnosed with Cancer for the 2nd time stage four, there are not much I can do, but The Sims 4 allow me to live with no boundaries or boarders. I can be or so anything I want, I just want to say thank you and keep them coming Thank you all so very much

Gravatar
New
Billsays...

Symptoms all wrong. Wrong most of the time. Either u were always wrong or hacked. Seem like a nice guy on videos but could be jerk. Please fix symptoms or pull down old fraudulent website



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Cottage living

The Sims 4 Cottage LivingCottage Living Guide! Here is my guide to new features in the Sims 4 Cottage Living Expansion

You can also find handy Cottage Living Cheats

I have much more to come, since you can actually write a few guides about this pack!

Calling all Blender Users

Blender has been incredibly useful in video production, so I made my own Physics and Simulation Improvement Addon that lumps a ton of unique tools into one compact interface.

Sims 4 Snowy Escape

The Sims 4 Snowy Escape launches November 13, 2020 and my coverage has started. Until I get my review ready, you can learn about the following:

Snowy Escape Cheats
Lifestyles in Snowy Escape
Climb Mt. Komorebi
Sentiments in Snowy Escape
Rock Climbing
Skiing Skill
Snowboarding Skill

Sentiments & Platforms (Free Patch!)

I've released a guide to Sentiments in The Sims 4 & Snowy Escape.

There is a new platform tool in The Sims 4. There's also a new Sentiments system, but it'll take some time to create a guide to that. Players can also use rental lots in any world now by changing lot types of builds in manage worlds.

Best Mods in Sims 4

I've created a massive List of The Best Mods in The Sims 4 that should be very helpful to new players and those who have not yet explored modding and how much it can do for your gameplay.

Search my Sims 4 Site

Support Us

Readers who use adblock or those who'd like to thank me for my efforts can now pledge $1/$5 monthly via Patreon. This helps a lot with server costs and provides some stability for my business.

Super Sim Checklist + Other News

Super Sim Text + Checklist and Video Guide! Here is my Super Sim Challenge Guide and Checklist to accompany my video guide to making Super Sims in The Sims 4 that you can view on Youtube.

This is inspired by a new series in which I start at toddler and gradually take on the major bonuses. Here's a link to the full playlist!

I now have a guide page to Tiny Living Stuff where you can learn about Murphy Beds, the new death, as well as the lot bonuses you'll receive if you manage to keep the size of your lot down with this new pack's Tiny Home Lot Type.

Let's Play Playlist

Super Sim Gameplay in The Sims 4

New I now have a guide to Making Super Sims in The Sims 4. Look for a text version within the next 72h. It won't have THAT much more info but it will help out as a checklist.

This was inspired by a series, "Let's Play a Super Sim" in which I start at toddler and gradually take on the major bonuses. Here's a link to each part for people who are interested. You can also see the Let's Play as a Playlist on Youtube.