Sims 4 Pregnancy Mod: 15 Best Mods for Realistic Pregnancies

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This post was last updated on September 1, 2023

Sims pregnancies are notoriously tame in the Sims 4 base game. If you want to flesh out pregnancy in the Sims 4, you can download a Sims 4 pregnancy mod for custom content designed to create fun gameplay.

The modding community releases Sims 4 pregnancy mods and other mods that you can download from your favorite download page.

There are a number of different Sims 4 pregnancy mods available to you. Use this guide to learn about the best pregnancy mods out there so you can try them, too.

name the new member of the family

Comprehensive Pregnancy Mods

These comprehensive Sims 4 pregnancy mods come with a laundry list of custom content that can completely change the way your Sim goes through pregnancy.

Relationship & Pregnancy Overhaul Mod (WooHoo Wellness) by Lumpinou

The relationship & pregnancy overhaul mod combines a number of different mods in one convenient download:

  • Pregnancy & Family Preferences
  • Fertility & Protection
  • WooHoo Transmitted Diseases
  • Paternity Testing & Drama
  • Teen Pregnancy
  • Temporary Separations
  • Infidelity Expansion
  • Insemination & Surrogacy
  • Adoption Expansion
  • Custody & Payments
  • Termination of Pregnancy
  • Pregnancy Side Effects
  • Miscarriage & Pregnancy Loss
  • Pregnancy & Family Tweaks
  • Romances & Friendships
  • Meet&Mingle Dating App
  • Chemistry System

Players who download this pregnancy mod will not need to download the mods separately. Of course, some people may prefer a more customizeable experience.

Cherished Moments Sims 4 Pregnancy Mod by YourFalseHope

The Cherished Moments pregnancy mod explores many of the aspects of pregnancy that we don’t necessarily want to cherish.

Pregnant Sims can experience unique morning sickness caused by implementation, and babies can be born with fetal alcohol syndrome.

Sims who tragically experienced a miscarriage will have the ability to talk about the miscarriage and get help through a support forum online.

New mothers may experience post-partum depression and attend therapy sessions to find relief.

This mod also emphasizes the social impacts of pregnancy and parenthood, creating new social interactions at different points throughout the pregnancy:

  • You can talk about your miscarraige scare, talk about your miscarraige, and talk about your abortion.
  • You can discuss baby names – but only when the Sim is in the “Boy or Girl” moodlet, one of the numerous new moodlets available to your expectant Sim.
  • You’ll also be able to admit to postpartum symptoms and seek treatment.

Wonderful Whims Mod by Turbodriver

The Wonderful Whims mod is a mod that enhances relationships just as much as pregnancy if not more.

Female Sims get a menstrual cycle. Naturally, a menstrual cycle means no baby. Your Sim can use birth control to stay childless or go through fertility treatments to increase the chance of getting pregnant.

Your Sim will need to have unprotected woohoo to get pregnant. You’ll be able to disable jealousy in all other Sims to allow you to try for baby with multiple partners. However, you’ll need to be careful that you don’t catch crabs.

You’ll be able to modify the length of a Sim’s pregnancy. When the time comes, the pregnant Sim will leave a puddle of water behind after their water breaks.

Pregnancy Mods That Enhance Pregnancy

These mods specifically impact Sims during their pregnancy, including getting pregnant and being pregnant.

Risky Woohoo & Try For Baby Chances by PolarBearSims

In the Sims 4 base game, Sims have control of whether they want to try for a baby or not. The risky woohoo mod leaves things up to chance by offering the risky woohoo option. You can buy a pregnancy test to get answers before you start to show symptoms.

This mod also opens up teen pregnancy and an advanced fertility system that includes features such as fertility rates based on age and infertility.

Sims 4 Discovery Pregnancy Mod: Creator SimMixD

In the Sims 4 base game, you will get clues immediately after becoming pregnant that let you know a baby’s on the way even though the pregnant Sim is not showing yet, such as throwing up immediately after woohoo and other pregnancy animations.

The discovery pregnancy mods create more mystery by eliminating the signs of pregnancy until the pregnant Sim starts to show.

Sims 4 Realistic Pregnancy Symptoms Mod by WICKED PIXXEL

Anyone who’s been hunched over the toilet with morning sickness knows that most games can’t portray pregnancy symptoms accurately, but the Sims 4 realistic pregnancy symptoms mod tries to do just that.

Some of the new experiences that will become available to pregnant Sims with this mod include:

  • Pelvic Cramping
  • Frequent Urination
  • Feeling on Edge
  • More Gas Than Usual
  • Extreme Low Energy
  • Heart Burn
  • Nosebleed
  • Anemia
  • Shortness of Breath

Your Sim may experience mood swings as a result of the pregnancy symptoms, so plan ways to keep your Sim happy through the worst of it.

Ultrasound Scan Mod

Pregnant sims can get ultrasound pictures of unborn babies with the ultrasound scan mod.

When you leave to get the ultrasound picture, you will have the ultrasound in your inventory when the Sim returns.

The ultrasound will make you aware of how many babies your Sim will have and the gender of those babies.

You can frame your ultrasound and hang it in your house (with 9 different picture frame options). You can also copy the ultrasound to share it with others.

Baby Shower Mod

Get into the celebratory mindset by throwing a baby shower thanks to the baby shower mod.

Your Sims will now have the option to throw a baby shower event. The guests will have access to new social interactions with the guest of honor, such as ask about due date and feel the Sim’s belly.

Like other events, baby showers come with specific goals that you’ll want to accomplish.

Sims 4 Pregnancy Time Mod by Havem

The Sims 4 universe runs on its own time. Sometimes that timeframe doesn’t fit your schedule.

Pregnant Sims give birth after roughly 3 days. Some players want to speed up the process to meet the new baby. Other players want to slow down the process to explore the different options available during pregnancy.

With the pregnancy time mod, you will have the option to pick the timeframe of your Sim’s pregnancy from the following options:

  • 1 day
  • 2 days
  • 6 days
  • 9 days
  • 12 days
  • 15 days
  • 18 days
  • 21 days
  • 30 days
  • 42 days
  • 63 days
  • 84 days
  • 105 das
  • 126 days
  • 147 days

It’s worth it to note that you can also change the length of the pregnancy in other places, such as the MC Command Center. When multiple mods offer similar features, it can cause some of the options to become unavailable or glitchy.

After the pregnancy, you can download these mods to get the most out of the experience of giving birth. You’ll have new options available to you, but you’ll have to analyze the pros and cons of those decisions.

Realistic Child Birth Mod

Considered one of the best pregnancy mods available, the realistic child birth mod gives pregnant Sims more options to customize their experience when they give birth.

Pregnant Sims will use the phone to call their obstetrician to set up a birthing plan that includes preferences about the birth. You’ll also have the chance to choose a birth partner for the Sim. Your sim’s pregnancy preferences will be saved for each pregnancy unless you manually change them.

Sims will start by deciding whether they want to give birth at the hospital or have a home birth.

call your obstretrician in Sims 4

Sims who choose to give birth in the hospital will choose from having a natural delivery or cesarean section. Alternatively, the Sim can give birth using a special surgery machine. Sims giving birth in a hospital can ask for an epidural.

Sims who give birth at home will have a water birth in a birthing pool and the assistance of a midwife and/or their partner.

Pregnancy can be painfully long, and this realistic mod. Sims will have new interactions that induce pregnancy. For example, you can buy a yoga ball to speed things along.

Quadruplets / Quintuplets / Sextuplets by Pekesims (Updated by Claudiasharon)

If you want more to love, the quadruplets/quintuplets/sextuplets mod is the mod for you!

Well, there are multiple mods to choose that have different outcome statistics. For example, one mod may create quadruplets 100% of the time while another mod may only create quadruplets 6% of the time.

Pregnancy Mods that Embrace the Beauty of Pregnancy and Motherhood

Sims 4 Pregnancy Belly Size Mod by LittleMsSam

Your pregnant Sim will show after they get pregnant. However, there’s little detail to the growing belly. You can customize the size of your pregnant Sim’s belly with the pregnancy belly size mod.

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You can choose to alter the size of the belly in the following ways:

  • Extra Small
    • 60% smaller in the first trimester
    • 50% smaller in the second trimester
    • 35% smaller in the third trimester
  • Very Small
    • 40% smaller in the first trimester
    • 35% smaller in the second trimester
    • 25% smaller in the third trimester
  • Small
    • 50% smaller in the first trimester (first trimester only)
  • Big
    • 25% bigger in the first trimester
    • 30% bigger in the second trimester
    • 35% bigger in the third trimester

Sims 4 Stretch Marks Mod: Creator Katybug273

Women often get stretch marks during pregnancy, and they should be proud of their tiger stripes.

The Sims 4 stretch marks mod adds stretch marks in Create A Sim (CAS) under the tattoos option.

You’ll be able to choose from a number of different options that combine stretch marks on the tummy, thigh, breast, and bottom.

If you download the mod after the Sim gets pregnant, you can add the new features using cheats in the MC Command Center.

Sims 4 Pregnancy Selfies Pose Pack: Creator Katverse

Everyone knows that pregnancy pictures get a lot of likes on social media! With the pregnancy selfie poses mod, you’ll be able to take great pregnancy selfies to share with your friends.

There will be five new poses available to pregnant Sims in the pose pack mod.

Conclusion: Sims 4 Pregnancy Mods

Oh, baby! Pregnancy in the Sims 4 was never better than with these Sims 4 pregnancy mods. However, these pregnancy mods are only the beginning to the true adventure – parenthood.

Frequently Asked Questions

Is there a Realistic Pregnancy Symptoms Mod Sims 4?

Yes! There are numerous realistic pregnancy mods that include authentic pregnancy symptoms. The pregnancy symptoms mod by WICKED PIXXEL is one of the most believable options if you want a realistic gameplay

You will also get fleshed out pregnancy symptoms when you download the pregnancy overhaul mod.

What is the Long Pregnancy Mod for Sims 4?

You can extend your pregnancy from 3 days to 147 days with the Pregnancy Time Mod by Havem, giving you plenty of time to experience all of the features in your new pregnancy mod.

While you can prolong the pregnancy that long, you don’t necessarily need to. You can find mods that extend the pregnancy but not quite as long.

What are the Options for Pregnancy in Sims 4?

Without a pregnancy mod, your pregnancy options in the Sim 4 are rather limited.

Mods will add new features, such as advanced pregnancy symptoms, realistic birthing options, fertility systems, miscarriage, postpartum depression, and numerous new interactions.

What is the Pregnancy Emotion Mod for Sims 4?

Pregnancy creates a lot of new emotions, especially when you download mods that include new moodlets.

Don’t be surprised if these moods lead to mood swings.