Though it is a Life Simulator, Sims 4, like other games in the Sims franchise, has always been a little zanier than real life. Some Simmers prefer more realistic gameplay, however, and that is often where mods come in. Mods can flesh out aspects of the game that feel underdeveloped to create a more lifelike experience, even if that might just mean more trouble for the player.

The Sims 4 modding community has created many downloadable mods that completely change gameplay and increase realism, particularly when it comes to health and wellness. These mods add everything from realistic illnesses and allergies to more realistic pregnancy and mental health. As of the time of writing, all the mods on this list still receive regular updates from their creators to work with EA's regular Sims 4 updates, but checking the mod's page for the most recent version of a mod and its compatibility with...