The Sims 4 Babies Guide

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

by Pam Marsden

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

Video Guide: Pregnancy and Babies

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

Pregnancy and Babies Video Guide

Have a Baby by Adopting

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

Have a Baby by Getting Pregnant

Other Guides: Toddlers Guide  |  Children Guide

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

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

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

Video Guide: How to Woohoo & Try for Baby

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

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

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

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

Having Boys or Girls

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

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

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

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

Having Twins and Triplets: Multiple Births

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

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

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

During the Pregnancy

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

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

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

Giving Birth to a Baby

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

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

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

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

Caring for the Baby

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

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

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

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

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

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

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

Learn More: Toddlers Guide  |  Children Guide

Pregnancy Cheats

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

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

Pregnancy Cheats in Sims 4

Pregnancy Cheats for The Sims 4

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

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

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

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

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

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

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

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

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

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

Raising Kids and Parenting in The Sims 4

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

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Comments (405)

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New
Cloesays...
what are the controls to change into a "Sims" perspective? Shocked i ever did find out but i already forgot it...
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Admin
Playalotsays...
There isn't a sims perspective really but you can hit 'tab' while playing and use the arrow keys to move and look around.
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New
Kiyahsays...
Hey i tried to make the pregnancy faster but its not working can you help?? Ive tried many possible ways but its still at first trimester
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Admin
Playalotsays...
Make sure this isn't being caused by a mod or cc conflict. Remember not to enter any loading screen after entering the cheat as that will cause the cheat not to work. Pause your game with the pregnant sim selected and after typing 'testingcheats on', type 'Sims.add_buff buff_pregnancy_inlabor' .
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New
Piasays...
where can i find my sim's ID number?
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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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Regular
Johnsays...
I had one male sims 4 character - got engaged to a woman and she got pregnant. She then gave birth BUT we were not yet in the same household. I didn't get to name the baby. Is it because we were not in the same household (Man and Woman) at the time of birth?
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Admin
Playalotsays...
Yes, babies born in unplayed households will be named automatically. If you take control of the household with the baby when it ages up to a child you will be able to change it's name in CAS using the 'cas.fulleditmode on' cheat. You can always mark the household as unplayed when you are finished making the changes.
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New
Allisonmedusasays...
Can a sim get pregnant just from normal whoohoo?
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Admin
Playalotsays...
No. There is a zero percent chance of that happening in a vanilla game. I think at one point the gurus had considered putting in a 'risky element' but that didn't happen. There are mods that have this game play element though.
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New
Marksays...
Last post is frm Friday so this is new news.

Latest update includes new options in CAS.

Look at the gender choice. There is a small band with three circles on the bottom of the choice graphic. Clicking on this gives options for modifying gender details.

The Sim's gender well still be what shows in the main box, but you can separately decide if a SIM will appear masculine/feminine, dress masculine/feminine and - on topic for this article - wether the SIM can get pregnant, impregnate another SIM, or neither.

It works on existing Sims as well as new ones. I used cas.fulleditmode just to be sure.

My same sex couple were able to have a baby, switch roles and have another baby. Both parents are shown as mothers of both children.

I haven't tried it with a hetero couple yet.
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New
Marksays...
Additional information:

The function does not allow pregnant Sims to be modified, therefore you may not have both halves of a couple pregnant at the same time.
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New
FrappeLoversays...
I know that's possible for mixed gender twins in The Sims 4, I had them in my first family, but I can't seemed to have them in my second family. I replayed over and ober and the result is two girls or two boys (I used the pregnancy force cheat). I don't want to have triplets or more, is that any possible and accurate way to have mixed gender twins?
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Admin
Playalotsays...
No sorry, it seems it really is up to the rng to give you twins of mixed gender. You could always change one of the babies in CAS once they are older.
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New
Amarasays...
Can teens get pregnant???
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Admin
Playalotsays...
Not in the vanilla game no.
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Regular
Marysays...
Hi
my sim listened to pop and ate strawberry ingredient foods but She gave birth to a boy againCrying
I tried it for three times but it does'nt work at allSad
I already got two boys
It there any other way to change the gender of the child while pregnancy?
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Admin
Playalotsays...
Your pregnant sim needs to eat the actual strawberry fruit, not foods with strawberry in them.
I get my pregnant sim to eat 10 strawberries each trimester and it never fails. Smile
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Regular
chrissays...
male sims should stand and pee!!!
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Admin
Playalotsays...
Any sim that has been designated to stand while peeing in CAS will only do so if their bladder need is less than half. I always send my standing-to-pee sims to the toilet before their need dictates they will sit down, that way I hardly ever see them doing anything else but standing.
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New
Namusays...
Hey, I have a problem! I got my sim pregnant with a stranger and while in the 2nd trimester, I receive a message from him that he is a father. I open up the genealogy panel and I see another 2 children, saying that she is their mother, but she didn't even gave birth first. On top of that, the other 2 children are no where to be found on her lot. After that, my sim proceed with normal pregnancy and gave birth to one boy that surprisingly has another 2 sisters.
I then got my sim pregnant again with a stranger and the same thing happened. Do you know what I can do to get the 2 kids in my lot?
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Admin
Playalotsays...
That is sounding rather messed up. If these other 'missing' children do exist you should be able to find them in the Unplayed section in Household Management. Then you can just move them in with your sim using the menu options. If they don't exist, then it sounds like a game bug and I would suggest first removing all/any mods or cc you might use. Deleting the localthumbcache.package file from your TheSims4 folder and then reopening your game and checking the family trees again. I guess it's not a game breaking bug as long as not having an accurate family tree doesn't bother you.
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New
harrusays...
I just updated my game with the new patch last night, and I used the cheat to edit one of the male sims in my couple to make him able to become pregnant. I get the "try for baby option," but I never get a "take pregnancy test" option and I've had my two men try for baby several times now. Do you know what might be causing this?
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Admin
Playalotsays...
Not sure as it is working in my game. Also you don't need cheats to edit your sims options just click 'change sim' from a dresser or wardrobe.
Do you use mods? If you do the problem could be a mod conflict.
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New
Mesays...
Eat Strawberries and listen to pop aren't work to have a baby girl ! I tried twice times and those babies coming still boys ? Actually , my sims ate strawberry cakes ( I don't know how to plant Strawberries ) ! I gonna give up SadSadSadSad
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Admin
Playalotsays...
Eating foods with strawberries in the title will not work. It has to be the fruit. There are many places in the Base Game where strawberries grow wild so all your sim has to do is visit those lots and wait for the strawberries to spawn, grow and become harvestable. The neighborhood in an new game where Johnny Zest lives has wild strawberry plants.
Gardening Guide

Just listening to pop music will also work but it takes a lot of micro managing as your sim needs to be listening to the pop station for just about the entire time they are pregnant. If your sims works then this will not work.
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New
Gilbertsays...
Can we have a baby with our own daughter?
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Admin
Playalotsays...
There's probably mods out there that would allow for incestuous relationships.
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New
Mahliasays...
None of the cheats I tried worked for my pregnant sim I typed in testingcheats on and then the twin and triplet cheat and it did nothing I tried the inlabor cheat as well and nothing happened what am I doing wrong
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Admin
Playalotsays...
I'm not sure. Sad Are you using mods? A lot of the mods really do not work well with the cheats. Did you use the correct sim ID? Did your game go through a loading screen after using the cheat, including a save screen?
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New
Pinkluckysays...
Download the pregnancy mega mod it works better than the cheat it's way easier u just click on the sim when u downloaded it P.s the sim has to be pregnant to use the mod
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New
Calliesays...
Sometimes chilren maybe teens will get sad after the birth of a child because they did not "want" the sibling
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New
brisays...
i need a teen pregnancy cheat or trick pleassseeeee Mad
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Admin
Playalotsays...
I don't think there is an actual cheat for that, you'll need to find a mod.
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New
Elisays...
So after the pregnancy cheat code my sim got bigger but he gave birth to only one baby.. is it because the sim who gave birth it's a man ? =))
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Admin
Playalotsays...
Single babies are quite normal in the game. To get twins you usually have to be lucky or use the fertility bonuses.
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New
Pinkluckysays...
Or you can use a mod Grin
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New
Milliesays...
I can't find the household option on the computer help!
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Admin
Playalotsays...
When you click on the PC if 'Household' isn't an option you may need to click the 'More Choices' bar for it to show up. Smile
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New
Aurisays...
Do I have to use the force twins cheat before she gets pregnant or when she is already pregnant? Thank you!
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Admin
Playalotsays...
"First, you need to get your Sim's ID after they've been made pregnant normally" - this means that before you even get the sims ID they need to be pregnant so after the sim is pregnant, get the pregnant sims ID and then use the force offspring cheat. Smile
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New
Aurisays...
Thank you! Sorry, I was reading fast and I didn't see it Blush
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New
Heathersays...
I have a problem. I put in the force labor cheat and it gave my sim a moodlet that says, Imminent Close Encounter Whatever It is, it's about to come out! Instead of the moodlet Pregnancy: In Labor. I tried reseting my sim and I tried using the cheat that removes all negative moodlets, but it didn't work. I entered the pregnancy in labor cheat again and she had her baby, but she still has that moodlet and walks around as if she were pregnant. I dont know what to do...
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Admin
Playalotsays...
Do a factory reset. Here are the instructions that will take you through it step by step in 3 stages.
Factory Reset
The moodlet your sim has is the notification a sim gets when about to deliver an alien baby. Smile
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New
Heathersays...
Oh, wow. Ok, thank you so much!!!BlushGrin
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New
linda lloydsays...
hi im new to all this
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New
svdizonsays...
if your game play auto age is disabled, will the baby and child still grow?
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Admin
Playalotsays...
The baby will age up to a child and then all aging will stop unless you direct a sim to blow out the candles on a cake or change the setting to aging on.
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New
Pinkluckysays...
If your struggling with the cheat I found a sims 4 mod which enables you to set your child's gender , choose if you want one , triplets or twins.
In the mod you can set the trimester either 1st , 2nd , 3rd or in labour ! If you are interested search in your search thing - pregnancy Mega Mod V4
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Regular
Samsays...
You can also influence how many babies you have without a cheap you have to try for a baby multiple times and you will get twins
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Admin
Playalotsays...
Yes, I use this tip often when trying for babies. It hasn't failed me yet. Just have to try for baby multiple times in a row before the sim gets the Eating For Two moodlet and before she/he has used the pregnancy test.


Make Seasons Better!

Sims 4 Seasons CheatsThe Sims 4 Seasons expansion now has options! Want to disable weather or make plants in season year-round? You can do so with my new Seasons Tuner Mod

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