Pooping mechanics.
Pissing mechanics.
Mortgages and foreclosures and credit ratings.
Filing taxes on all loot and harvesting.
Your waifu not putting out and you rubbing one out in the outhouse.
Your waifu getting fat.
Domestic abuse.
Neurodivergent children.
Dumping children back to the orphanage.
I literally cannot play a storyline without this level of realism.
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Neighbor just play the sims
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It's called Project René
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But I want to have a sword and gun too
But like, the Sims will make your dude r-slurred?
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Sims modders have made every single aspect of life including everything you listed (genuinely) into a mod atp. And they've been pandering to
s more and more so don't worry, you can even have queer disabled transgender 
cute and valid sims without mods.
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So if you are MtF trans and want to be a woman, you could just choose to play as female.
But the game allows you to play as trans and not actually a biofoid?
Isn't that actually worse?
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Yes and yes kek there are special options to choose if your sim "stands up to pee or not," "can get pregant," and if they have a masculine or feminine body AND if it matches their "clothing preference."
From the official twitter, left is a FTM and the middle is a MTF
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