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January 23, 2026

Responsible Pregnancy Mega Update - PUBLIC RELEASE NOW AVAILABLE

📖About Responsible Pregnancy Mod

The expanded mod stays true to the theme of what Sims SHOULD and SHOULDN'T do during pregnancy.

7 Modules (Mix & Match!):

Each module is based on a different type of risk a pregnant Sim can face during pregnancy.

  • 🍸Module 1: Substance Abuse - Visible consequences for substance use (alcohol, tobacco or recreational drugs) during pregnancy, including behavioural reactions, health risks, and social judgment.

  • 🍵Module 2: Caffeine Consumption - Insomnia risks and other caffeine related effects.

  • 🪱Module 3: Toxoplasmosis Risk - Infection risk from cats, farm animals, and uncooked meat and fish.

  • 🍎Module 4: Healthy Eating - Maintain proper nutrition throughout pregnancy to get pregnancy glow reward.

  • 💦Module 5: Prenatal Exertion - Balancing safe exercise, hydration, and body temperature

  • 🧼Module 6: Household Chores - Avoiding Sciatica and toxic exposure from chores and other activities.

  • 🍼Module 7: Newborn Complications - Babies can be born with the below health issues as a result of irresponsible actions during pregnancy:

    • Low birth weight

    • Colic

    • Congenital toxoplasmosis

    • Acute illnesses (Respiratory, Irregular Heartbeat or Sepsis)

    • Sudden infant death syndrome (SIDS is optional and can be turned off in game)

☀️What's New-er (since private release)

➕More Social Reactions & Confrontation Interactions ! (Module 1 : Substance Abuse)

  • Strangers can gossip, shame publicly, or autonomously attempt blackmail of the pregnant sims (evil & mean NPC sims)

  • Loved ones(family & good friends+) can offer support, express concern, or confront pregnant sims

  • Romantic Partners have an escalating system with ultimatum warnings and potential automatic breakups if they witness pregnant sims repeatedly consume substances.

  • Bartenders can be asked to stop serving pregnant sims by anyone which can result in the pregnant sim being barred from ordering drinks.

  • Pregnant sims can respond in multiple ways when confronted or witnessed in the act.

➕Functional Pregnancy Massage Table

Custom massage table created in collaboration with Acad that solves the problem of pregnant sims not being able to use EA's spa day massage tables. Features a bump cutout so your pregnant sims can finally get proper massages.

Now available as a standalone download if you want just the massage table without the full mod.

Download here: Pregnancy Massage Table - Kemzima Sims 4 Mods

➕Added cheat options:

  • Remove ALL Newborn Complications from Baby

  • Reset ALL Responsible Pregnancy Risks on Pregnant sim

  • Remove Toxoplasmosis Immunity from Pregnant Sim

➕Pregnancy Squat Exercises (Module 5 : Prenatal Exertion)

Base game compatible! Three squat exercises for labor preparation, created in collaboration with ShineBrightGamer

  • Shallow Squats (low intensity)

  • Deep Squats (moderate intensity)

  • Yogi Squat with three duration options: 15min, 30min, or 1 hour (high intensity)

Available at home, gym, hospital, park, or spa. 

Optional: Increases dilation during labor if you have Pandasama Childbirth.

➕Other Updates

  • Pregnancy-safe bar menu for non-alcoholic drinks (Future plans to add CC drinks)

  • Various bug fixes and improvements

  • Module 4 - Healthy Eating - See how every dish in The Sims 4 has been re-categorized as (Healthy/Neutral/Unhealthy/Unsafe) as part of this module. I have also organized by game pack so you can see which recipes are available with your packs.

Compatibility & Integration

Tested and compatible with:

  • Pandasama Childbirth Mod

  • Lumpinou RPO

  • Adeepindigo Healthcare Redux

  • Basemental Drugs

This mod works standalone or alongside these pregnancy related mods. I do not aim to recreate features other modders have already made. Instead, I prefer to add special integrations that deepen gameplay when used together 💜

Responsible Pregnancy Mod - Kemzima Sims 4 Mods

Pregnancy Massage Table - Kemzima Sims 4 Mods

If you run into any issues OR even if you have suggestions, let me know in the comments or let me know via my discord server .

As always THANK YOU for your patience and support 💜 I hope you enjoy 😊

Comments (102)

Z
Zyy · August 5, 2026

For some reason, mines is messed up. My sim got the parched moodlet and when she drank water, nothing happened. When she was in the labor at the hospital, she drank 3 glasses of water. Then it made her become dizzy and dehydrated, and nothing changed after she drank more water. Do you know what I should do for this?

K
Kemzima · August 5, 2026

Check if you have the latest updated version. I updated this mod last week

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Shortphix · July 22, 2026

My Sim is "dehydrated" for 22 days - but has drank like 7 glasses of water lol is this normal? Do I need to have her do something different?

K
Kemzima · July 22, 2026

what version of the mod do you have downloaded?

K
Ko · July 11, 2026

massage table isnt working ??

K
Kemzima · July 11, 2026

Huh?

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Azzy Azz Cakes · July 4, 2026

Hey Kemzima - Thanks for the hard work. Is RP compatible with the latest patch?

H
Hailey Hart · June 24, 2026

Love this mod! Do the aspects like contaminated breastmilk, sids risk, etc. affect infants too, or just newborns?

l
liyah · June 9, 2026

Does this mod still include the breastfeeding portion

K
Kemzima · June 9, 2026

Yes

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lola · June 8, 2026

Hello !! Hope youre good And love your mods ! Maby i did miss some alert, but my game indicates as an error : InjectTagsToObjects_UncookedFood.py object_Food_CanadianBaconPizza_Multi Do you know if i need to correct it or should i leave it like this ? Thanks for always be there and answering us !

K
Kemzima · June 8, 2026

Join my discord and send me the exception pls

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Lily · June 6, 2026

Hi, Prenatal Exertion was reported as broken by twisted mexi's better exceptions report, and when my sim was dehydrated, she stopped being able to move and it froze my game

K
Kemzima · June 6, 2026

Can you send me the exception report via my discord pls asap

O
Orangefrogqueen · June 4, 2026

Okay so I know I am probably being really dumb and I apologize for that, but where do I find the water bottles?

K
Kemzima · June 4, 2026

When sim is pregnant there will be an option on the computer to 'Purchase hydration sources'

W
Wolverine36 · May 29, 2026

milk pump That's how it is with these ones—I haven't tried yet to see how it is with the others.

W
Wolverine36 · May 29, 2026

Unfortunately, it seems there are conflicts with PandaSama's mods; whenever I place an item from one of them, I am unable to save and have to quit the game. I removed your mod to test it out, and saving worked again.

K
Kemzima · May 29, 2026

What item ?

K
Ko · May 15, 2026

will this be updated for the recent patch?

K
Kemzima · May 15, 2026

Yupp updating today

D
DNae Smith · May 12, 2026

Is there a setting that we can adjust to delay the mod until they take a test?

K
Kemzima · May 12, 2026

Hmm technically the mod shouldn't trigger until sim knows they are pregnant

M
Millie-Anna Unwin · May 7, 2026

Hey! I have been running into issues with this mod the last few days and I wanted to let you know as I LOVE it so much for my gameplay. I keep getting a report on better exceptions saying its failed tuning etc and it keeps getting flagged. Its only been since the update so I wanted to let you know <33 UPDATED: It is specifically saying this and invalid tuningKemzima_ResponsiblePregnancy_BabyCare_Broadcaster_ActivateDiaperDuty Wolfie Jennings running Kemzima_ResponsiblePregnancy_SuperInteraction_Toddler_ChangeDiaper:24714 on Sophia Jennings

J
Jroque · May 8, 2026

same

K
Kayla Raley · April 25, 2026

Hey! Could anyone help me . All my moodlets options when clicking sim , the notification box for this one mod is blank.?

K
Kemzima · April 25, 2026

You may not have downloaded the lot51 injector correctly OR the mod itself may be in a subfolder of a subfolder in your mod folder

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Rija · April 19, 2026

Hey! I love this mod so much and I can’t play without it anymore:), but I was having issues with the German translation, you’ve mentioned you did it yourself? But a lot of the German translations don’t make any sense, and there is no way to choose to use the English one because when I download the mod it’s automatically German.

K
Kemzima · April 23, 2026

I'm so sorry! I will provide a separate version of the mod without my translations 🥲 If there are any German mod translators you like, let me know and i will reach out to them to ask them to correct/adopt the German translation

A
Aaliyah Price · April 12, 2026

Hi and how are you do you know if it's compatible with SimRealist PrivatePractice??

K
Kemzima · April 13, 2026

it shouldnt conflict but as for whether the gameplay with both would integrate well i'm not sure.... i havent tested its compatibility tbh but i will do some testing this week and let you know :)

E
Erased Face · April 9, 2026

So ummm I've had a bug and my baby was supposed to have died from sids and at first he was dead but he suddenly came back? He's considered dead in my family but he's back in my family and he's alive again? Idk what to do for that not to happen again.

K
Kemzima · April 9, 2026

Are you able to amswer some questions so i can help you asap: 1. What version of thr mod do you have 2. How long did it take for him to rejoin household after dying 3. What action were your sims doing that precipitated the baby coming back to life(travelling, etc)

K
Kai · April 5, 2026

Hii! I love this mod so much, but I think a bug is happening! Every couple of Sims hours, my pregnant sim will get the "gained protection" and "lost protection" moodlets, and at the same exact time, I'll also get both of the notifications. My sim has been doing everything right, and it happens multiple times every time I play the game, but I don't know why! I have the latest version, but should I redownload it anyway to see if that fixes it?

K
Kemzima · April 5, 2026

hellooo ..what version of the mod do you have?

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valentina1988 · April 5, 2026

Hi I love ypur job but for me water bottls are vanished in order at computer at all((lot is 15th march Responsible Pregnancy Mod vers Version 3.9 and massage table. But if I am not mistaken Pregnancy Massage Table is included into RPM but what part concrettically I don't find out

K
Kemzima · April 5, 2026

pregnancy massage table isnt included in the responsible pregnancy mod you have to download that separately.. water bottles can only be order when sim is pregnant

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Jaja · March 30, 2026

Hi, so I’ve downloaded this mod, all the modules, and Core Library 51. But when I’m in the game, the mod does appear, but some of the options are missing—there’s just an empty text bubble and an emoticon from the mod. Do you have any idea why this is happening and what the solution might be? By the way, I really like this mod, thanks!

K
Kemzima · March 30, 2026

check you have the updated version of the mod downloaded and check you have installed lot51 correctly.. join my discord for more help also

J
Jade · March 16, 2026

Hi! I don't think the massage table is in the download, and I can't seem to use the separated link.

K
Kemzima · March 16, 2026

Its not you have to download that separately on the pregnancy massage table page

s
silverbullet_gg · March 14, 2026

Hi, I tried to download de massage table but it appears as though the option is disabled in your website

K
Kemzima · March 14, 2026

Try again now

C
Cosmo · March 14, 2026

I love this mod, it's really interesting, but like - where do my newborns go after they're born with complications? Cause my sim had twins and only one of them was visible in the family after being born BUT I couldn't find where they were at all :p

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Sims_is_life · March 12, 2026

i love this mod but the take the baby to the neonatal appointment disappeared for me

K
Kemzima · March 12, 2026

Join my discord so that I can ask you more questions on this pleasee

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dana iob · March 3, 2026

I know this isn’t related but I’d like to know if you’re going to update the political world mod! My game is broken bc of the modded career sadly since the last update and my lastexceptions are telling me that mod is the problem

K
Kemzima · March 3, 2026

Are you sure? My political world mod doesnt include a modded career... are you able to join my discord and send me the exception you are receiving

T
Ty Ty · March 3, 2026

Hi! idk if you have already answered this question but is this compatible with Wicked Whims?

K
Kemzima · March 3, 2026

yes its compatible😊 ... there also arent any features that would clash with that mod

R
Renée Cahl · February 25, 2026

idea, if you are interested: Could there be either effects for drinking while breastfeeding and/or improved future health for breast fed babies?

K
Kemzima · February 25, 2026

Thats actually already included for module 7👀👀 its why the sim experiences lactation issues.. it makes the baby's healthy worse if they have newborn complication... the breastfeeding sim should get a warning notification when they consume something harmful

m
maddielectric · February 19, 2026

LOVE this mod, but I can't find the settings menu? Tried computer, phone, shift-click on sim, etc. I think I might be missing something??

K
Kemzima · February 19, 2026

Thank youuu!! Click Sim and then go to the 'actions' menu and then you will see it

L
Lily · February 19, 2026

Hii, I was wondering if there is a way to cheat and give the baby colic? Love the mod btw :)

K
Kemzima · February 19, 2026

i can make one but it will have to be cheated before the sim gives birth not afterwards whilst the baby is a newborn...would that be alright?

D
Darksimz · February 19, 2026

After testing a while I can say this is a really fun mod and would recommend to everyone! She still has to give birth but so far it's a really excellent addition to my game.

K
Kemzima · February 19, 2026

Ahh Thank youuuu!! That makes me happy ! I'm glad you are enjoying it !

D
Dion Jenkins · February 19, 2026

My sim was drinking and smoking during pregnancy and the baby still came out fine and it says that she was sober her entire pregnancy :/ its not working for my game

K
Kemzima · February 19, 2026

What version of the mod do you have? Please join my discord so that I can help on this

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Lisa Kiesman · February 14, 2026

I want to love this so much but it's not working. Every thing she does as in excersise or squats it's just blank, no text at all

K
Kemzima · February 14, 2026

Are you able to join my discord so that I can help you on this?

M
Mary J · February 13, 2026

I don't know how it is, that I never heard of this mod before (especially with me being a mod junky and all🫣), but I love it and now it's one of my top mods. I was wondering where my Sim got all these cool interactions and then I remembered I added this mod. Thank you so much!

K
Kemzima · February 13, 2026

Tbf I only released this a month ago! Thank youu soo much!💜 im glad you are enjoying it 🙂

L
Leanne · February 13, 2026

is this mod compatible with MC Command Center?

K
Kemzima · February 13, 2026

Yes it is ! :)

p
pynksimz · February 9, 2026

Uhm, BE picks this mod up as a problem, and I don't know whats happening

K
Kemzima · February 9, 2026

Did you do the patch update

I
I_haveno_selfcontrol · February 9, 2026

I had a suggestion would you think of adding compatibility with Law and Disorder by Lumpinou maybe adding legal consequences for drinking whilst pregnant. I know that would be alot of work but it would be cool

K
Kemzima · February 9, 2026

Yesss thats a good idea !!I was thinking about that I just haven't played this mod yet so wanted to check it out and play it to see how it works but this is something I want to do😊

H
Hailey · February 5, 2026

I just want to say I am in LOVE with this mod, I cannot wait to play with it more,, was wondering if you have an estimate on when this update will be released so that it can work with the new sims update??? again thank you so much

K
Kemzima · February 5, 2026

Omg thank youu!!! Still working on it !! I think likely next week..

a
alice · February 1, 2026

Thank you for creating this is exactly what i have been needing!!! the only problem I'm having is the download link doesn't show up for a few like the substance abuse, healthy eating, and the complications. loving all the other modules so far though!

K
Kemzima · February 1, 2026

Helllooo thanks you 💜 Theres is only one download button which is at the bottom of the main page.. the link in the post should take you straight there....you remove any modules you dont want from the folder

A
Aaliyah Price · January 30, 2026

Also can't wait to see what else you'll add to our gameplays. Thank you for your hard work!

A
Aaliyah Price · January 30, 2026

Thank you so so much for this!!!! I was wondering if anyone was going to create more things for pregnant sims. Also is this mod compatible with Lory Na mods XPANDED PREGNANCY INTERACTIONS???

K
Kemzima · January 31, 2026

Helloooo!! Im glad you are enjoying ! I have never played Loryna mod but it does look cool ! i just went through it and i cant see any possible conflicts. We both override different newborn interactions so should ok..

P
PK · January 29, 2026

I love this mod so much. But even after my sim had her baby she is still glowing what can I do to stop it

K
Kemzima · January 29, 2026

Did she gain it via exercise or food ?

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LewdChels · January 29, 2026

Hi! Thank you so much for this mod!! I wanted to ask a question to clarify a few things. First, do the babies with complications have to go to the doctor multiple times a day? If so, how many? I noticed I get the notification twice a day and a missed one if I leave and come back into the game. I just want to know if I'm doing something wrong.

K
Kemzima · January 29, 2026

Hellooo! If you are referring to the acute illness newborn complication then no it should only trigger once per day, However yes if you leave the game or load into another venue and back to household it will trigger a due appointment(not missed) ..check that you arent missing a due appointment notification when you load back into the game.

D
Darksimz · January 28, 2026

OMG SO EXCITED FOR THIS!! Thank you!

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Rxche · January 26, 2026

Hi! I can't find Simethicone Drops on the computer, in which menu is it? I've searched for it in the order menu with the mother but I didn't find it.

K
Kemzima · January 26, 2026

How odd! I just tested again and I can see it. You are correct it is in the order section of the computer. Do you have a cc computer? Does your sim have an infant or baby?

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Lilly · January 25, 2026

Hi my baby has complications, and doesnt want to go to doctor 😭

K
Kemzima · January 25, 2026

Which complication?

l
lii · January 24, 2026

Can this mod be used with version 1.119?

K
Kemzima · January 24, 2026

Yeah it will. I finished the mod on this version and the recent patch didnt affect many mods

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Ava Parkinson · January 24, 2026

I can't find the hydration options, theyre not in the computer or phone

K
Kemzima · January 24, 2026

Its in the order menu on the computer and only available for pregnant sims who know they are pregnant

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Tagan · January 23, 2026

Throwing an exception for invalid tuning in my game.

K
Kemzima · January 23, 2026

Send me the exception report via my discord or contact form on my website please

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Daisy1728 · January 23, 2026

This update is great! Could you add drinks from S&S? (Somik and Severinka). They are compatible with Basemental's mods.

K
Kemzima · January 23, 2026

Yes i will add to my to do list! Im also going to do a poll as to what CC drinks everyone uses!

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Sarah · January 23, 2026

I really appreciate all the care you put into this 💜 Thank you🙏 — can’t wait to use it in my game ✨

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Kemzima · January 23, 2026

Thank youu ! I appreciate your appreciation ! 😊 I hope you enjoy!

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valentina1988 · January 23, 2026

Thank you for creating to us this mode - it is very good with Lumpinou RPO i suppose so

v
valentina1988 · January 23, 2026

listed all modes Lumpinou RPO Adeepindigo Healthcare Redux Basemental Drugs ohhh yeah i use them too)

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sleepy mood · January 23, 2026

can this be use with other modder alcohol mod like kawaiistacie or natabear? or only basmental alcohol mod? basemental drug are too big for me.

K
Kemzima · January 23, 2026

Currently only basementals mods and also without any alcohol Cc. I haven't used natabear or kawaiistacie for their alcohol mod but I will check them out to see how that is integrated! Im aiming to add compatibility for other alcohol mods and CC

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sunday · January 23, 2026

This is sooo good!! tysm for sharing your hard work 🧡 I lowkey hope the royalty expansion is the last one so dope modders like you can have free creative reign without the fear of destructive patches

K
Kemzima · January 23, 2026

Thank youu I appreciate youu!! And yes im conflicted though! I love the new content but hate the patch updates🤣