25+ Realistic Sims 4 Pregnancy Mods for Heartwarming Moments
Feeling like your Sims’ pregnancies are just a bit too predictable and boring?
No worries, I’ve got your back! This post dives into the best Sims 4 pregnancy mods that will spice things up and make your game way more exciting and realistic.
I think we can all agree that pregnancy is a big deal for our Sims, but the game just doesn’t give it the attention it deserves! All you really get is a bigger belly, some vomiting before the second trimester, and the luckiest moodlet (no matter what!!).
That’s not enough! Every little detail matters, from comfy clothes for pregnant Sims (check out 29+ Stylish Sims 4 Maternity Clothes CC (Pregnancy Clothing)) to good medical consultations.
Pregnancy is different for everyone. One Sim might spend years trying and seeing only negative tests, then decide to adopt (12+ Realistic Sims 4 Adoption Mods Where Love Knows No Bounds!), while another might face teen pregnancy challenges like dropping out of school and fighting with parents.
The stories are endless!
And you know, more stories mean finding the right mods! In this article, I’ve gathered the best Sims 4 pregnancy mods to cover all the details of this important time.
Whether you want one big mod with lots of features or smaller mods that add realistic touches like menstrual cycles, fertility, realistic childbirth, longer pregnancies, new moodlets, food cravings, or unique birth certificates—you’ll find what you need here!
This post is all about the best Sims 4 pregnancy mods.
1. Sims 4 Relationship & Pregnancy Overhaul Mod by Lumpinou
This Relationship and Pregnancy Overhaul mod by Lumpinou is a game-changer!
It packs in so many important features all in one place. I can’t imagine my game now without partner preferences for pregnancy, fertility options, contraception, paternity testing, surrogacy, and so much more!
This Sims 4 pregnancy mod adds so many new plot twists! Your Sims could lose the baby they wanted so much or agree to an abortion under pressure from their parents.
Pregnancy is obviously a huge deal, and everyone handles it differently. You can try it out on your Sims!
2. Sims 4 Child Birth Mod by PandaSama
This mod is a must-have and probably needs no introduction! It’s so amazing and completely addictive. I can’t imagine the pregnancy process in my game without it anymore!
The animations are perfect for cute screenshots, so no need to hunt for poses. I’m thrilled with it!
It’s THE MOST REALISTIC MOD for Sims’ pregnancy and childbirth. The gender reveal parties you can throw with this Sims 4 pregnancy mod are incredible. Seriously, it has everything you need for the perfect party—super handy!
Your Sim can give birth in a hospital, at home, in a pool, or even have an emergency C-section. Everything you see in real life is here. It makes role-playing childbirth realistic and unique, just like your Sims’ experiences!
3. Sims 4 Miscarriage Mod by LittleMsSam
I wish every pregnancy could be a happy one, but life isn’t always like that. This mod by LittleMsSam adds miscarriages and abortions to the game.
Your pregnant women might experience cramps and pain if they’re too tired or hungry. If that happens, you can send them to the hospital, but there’s only a small chance everything will be okay. Usually, they come back with bad news.
It makes sense because in the base game, no matter how exhausted or hungry a pregnant Sim is, the baby is always fine, which isn’t realistic. Pregnancy should be treated seriously, and this Sims 4 pregnancy mod does just that.
Also, remember that a miscarriage can sometimes lead to the death of the pregnant Sim or infertility.
This mod is a must-have for anyone who wants realism with all its ups and downs!
4. Sims 4 Pregnancy Cravings by Plumlace
Isn’t it weird that the EA developers added morning sickness but skipped food cravings for pregnant Sims? I feel like we’re missing a big part of the pregnancy experience!
This small Sims 4 pregnancy mod fixes that. Now, your pregnant Sim will have food cravings, and if you satisfy them, it boosts their mood. Just watch out—they’ll also have food aversions, so avoid those dishes!
Plus, it’s fun to have your Sim chat about their cravings and experiences with their loved ones or other expectant moms.
5. Expanded Pregnancy Interactions by LoryNa
Remember how in Sims 3, expectant moms could read pregnancy books to get ready for the baby? I was so surprised to find out that this wasn’t a thing in Sims 4. I guess we’re all about Googling stuff now.
With this Sims 4 pregnancy mod, your Sim can watch birth videos to overcome their fear of childbirth or use the My Pregnancy app to track their baby’s development. It’s so cute!😍
If your Sim prefers face-to-face advice, they can call a Doula NPC for help. I really miss having those kinds of consultations!
6. Early Sims 4 Pregnancy Quirks by Psylocke X
This small Sims 4 pregnancy mod is super cute! It gives your pregnant Sims positive or negative moodlets even before they know they’re pregnant.
It makes sense since our bodies can signal different things, and some might hint at needing a pregnancy test. These moodlets help you understand your Sim’s feelings about the baby coming.
Sooooo realistic!
7. Sims 4 Birthing Education Class by YourFalseHope
Oh, I love getting ready for pregnancy or childbirth! Reading up and taking courses is so much fun. It shows your Sim is a responsible parent even before the baby arrives. So cute, right?
This Sims 4 pregnancy mod lets your Sim attend a “Birthing Education Class” for 150 simoleons using their phone. It’s a quick rabbit hole, but it gives your Sim a confident moodlet and a small boost in parenting skills. Simple and useful!
8. Babymoon Mod – Adventure Moments by SimwithShan
Pregnancy is the perfect time for a vacation, don’t you think? Fresh air, beautiful nature, and total relaxation—many expectant moms’ dream! It’s great for the baby’s health, too.
With this Sims 4 pregnancy mod, you can send your pregnant Sim on a three-day vacation alone or with friends. They’ll have unique interactions along the way.
I love these little quests that make the game more fun! So much better than a regular rabbit hole.
9. No Pregnancy Spoilers by CubiertoDeFlores
This mod is a lifesaver! It was such a bummer for me to see “Throw Up” happen before my Sim even knew she was pregnant. Totally ruins the excitement!
This Sims 4 pregnancy mod fixes that by disabling “Throw Up” until the first trimester starts. It’s the little things that make me happy!
10. Celebrities Babies by MaiaGame
Hey, drama lovers, are you feeling bored? This Sims 4 pregnancy mod is perfect for you! It’s for Sims, who dreams of having a celebrity baby.
Your Sim can use a special app to find a celebrity. Then, the new mom can share baby news, demand child support, and get birthday gifts. The kid can even ask for expensive gifts and pocket money!
It’s not just a fun storyline but also a way to boost your finances. Happy hunting, money lovers!
11. Sims 4 Pregnancy Belly Size Mod by LittleMsSam
Am I the only one freaked out by how huge pregnant Sims’ bellies are? I always worry there’ll be more babies than expected!
If you feel the same, this Sims 4 pregnancy mod is for you! It makes the pregnancy belly smaller. There are 4 sizes to choose from, so you can pick what looks best!
12. Sims 4 Labor Puddles Mod by PolarBearSims
This Sims 4 pregnancy mod makes water puddles when your Sims give birth. It’s not a big surprise, but it adds realism.
I love it because it works for women, men, and even cats and dogs! Details like this make the game so much better!
13. Ask Baby’s Due Date Response by MizoreYukii
Check out this super handy mod by MizoreYukii! It lets you ask your Sim when the baby is due.
Your Sim might get a positive or negative moodlet from it, and sometimes they’ll ask on their own. It’s a great little detail that makes pregnancy feel more real!
14. Discover Pregnancy Mod by SimMixD
Sometimes, I feel like I have too much control, and nothing surprises me in my Sims’ lives. But real life is full of surprises, right?
This Sims 4 pregnancy mod brings that feeling with unexpected pregnancies! Your Sims won’t show any signs like vomiting or holding their stomachs. You’ll only find out they’re pregnant when it becomes obvious!
Pair it with mods to make risky woohoo for a totally unique pregnancy gaming experience!
15. Sims 4 Baby Shower Event by KiaraSims4Mods
This Sims 4 pregnancy mod lets you throw a real baby shower in your game!
I love parties, both in real life and in the Sims, so new party options are always exciting. It’s a perfect reason to gather Sim family members and friends and just have fun!
What’s more special to celebrate than a baby’s birth? There are none, right? (as long as weddings don’t count! 31+ Stunning Sims 4 Wedding Dress CC for Your Sim’s Big Day)
16. Sims 4 Ultrasound Scan Mod by LittleMsSam
Who else loves collecting photos of their Sims, childhood drawings, and other memorable moments? If that’s you, you’ll love this mod as much as I do!
This small mod lets your Sim get an ultrasound during pregnancy and gives you the cutest baby photo to keep! Some big Sims 4 pregnancy mods have this feature, too, but if you don’t want to overload your game, this little mod is perfect!
17. Cherished Moments – Sims 4 Pregnancy Mod by YourFalseHope
I think pregnancy is a huge deal in a Sim’s life, but it feels kinda bland in the game. This mod changes that.
It adds new moodlets and lots of interactions. My favorite is when a pregnant Sim is in a place that serves alcohol and reacts to it.
Plus, there are interactions for postpartum depression. It’s cool that it shows different emotions new moms can go through, not just happiness.
There’s a lot to explore with this Sims 4 pregnancy mod, so give it a try!
18. Realistic Life and Pregnancy Mod by PERSEA
This Sims 4 pregnancy mod adds new pregnancy interactions to make your game more fun and unique!
Your Sim can now worry about pregnancy, the baby’s education, and even financial stuff. And they can talk about it all with their partner!
One cool feature is a trait that shows if your pregnant Sim has a preference for the baby’s gender. It’s so cute!
19. Realistic Pregnancy Symptoms by Wicked Pixxel
This Sims 4 pregnancy mod adds realistic pregnancy symptoms to your Sim, and I’m loving it! You get things like needing to pee a lot, mood swings, super low energy, nosebleeds, and more. It makes me so excited to play!
The cool part is these effects happen every 2-3 hours and can make your Sim unable to do anything for a while. It really spices up the usual pregnancy in the game!
20. Pregnancy Is Fine – Sims 4 Pregnancy Mod by Iced Cream
I’m sure this mod will be a game-changer for many players! It changes the pregnancy moodlet to a more neutral one, so your Sim won’t be super happy all the time after finding out they’re pregnant.
This is super useful because that strong basic pregnancy moodlet can overshadow everything else in your Sim’s life. There needs to be balance, right?
21. Cycle – Menstruation and Sims 4 Fertility Mod by NeonOcean
I’ve never seen a standalone mod for menstruation since it’s usually part of bigger mods. This small mod brings just the cycle and related stuff into your game without slowing down your computer.
I love small Sims 4 pregnancy mods because you can pick exactly what you need!
This mod adds not only menstruation but also fertility, which affects your Sim’s pregnancy. You can use contraception to control it or leave it to fate!
22. Sims 4 Pregnant Aging and Death Mod by PolarBearSims
I think not aging during pregnancy is a bit weird. Shouldn’t the body age more while carrying a baby?
It’s also strange that pregnant Sims can’t die like pregnancy is a superpower. Expectant moms should be especially careful, right?
This Sims 4 pregnancy mod fixes all these things! Now your pregnant Sims can age, celebrate birthdays, or even die just like in real life.
23. Sims 4 Pregnancy Time by Havem
Oh gosh, I’ve been dreaming about this Sims 4 pregnancy mod forever! With it, you can adjust how long pregnancy lasts in the game.
Sure, some big mods have this feature, but I usually prefer to keep my game light with minimal mods and custom content. For me, this is a game-changer because three days is too short – I want an extended pregnancy timeline!
You can pick the perfect pregnancy duration for your Sims from 1 to 147 days—the max possible in the game! I’m sure you’ll find it super useful, too!
24. Even More Babies Sims 5 Pregnancy Mod by ClaudiaSharon
This might be cheating, but I found the perfect Sims 4 pregnancy mod for the 100 baby challenge. Your Sims can now have more twins, triplets, and even 5 or 6 babies at once!
No big deal, right? A big family is pure happiness!
25. Advanced Birth Certificate by LittleMsSam
I adore this Sims 4 pregnancy mod! Now, your occult characters get unique birth certificates. It’s so cute!
I love collecting and signing birth certificates and then storing them safely. Vampires, mermaids, werewolves, and wizards rarely show up in my game, so this makes their births even more special.
26. Wonderful Whims by TurboDriver
You need this mod for your Sims game! It can totally change your Sim’s story—I love it!
Your planned partner might not even like your Sim, but their true love could be waiting among the NPCs at the bar. It’s always a surprise!
I also love the menstrual cycle and fertility features of this mod. It’s so realistic!
Sometimes, you need to work hard to have a baby, or if your Sim doesn’t want kids, there is birth control to avoid unwanted pregnancies. You can even donate your child to science without judgment.
This Sims 4 pregnancy mod has so many cool features—you have to try it!
And that’s it for my favorite Sims 4 pregnancy mods!
I hope you found everything you need—whether it’s big mods or small tweaks—to make your stories more exciting with such realistic gameplay!
Happy simming!
This post was all about the best Sims 4 pregnancy mods.
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