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In 2016, Sims were unlocked from the gender binary, and instead can be customized on a spectrum between masculine or feminine options. Previous updates to The Sims 4 have allowed for better trans representation. These scars come from a breast tissue removal surgery, a common gender affirming procedure for trans and non-binary people. Teen or older male Sims (with either a masculine or feminine frame) can add a top surgery scar to their Sim. The Body category in Create a Sim has a section called Body Scars. There’s new shapewear available in the underwear section as well. Binders can be found in the Tops category, under Tanks, and can be equipped by Sims who are teenagers or older. These assets are available in the Create A Sim section of the game.

How to equip binders and top surgery scars in The Sims 4īinders, shape wear, and top surgery scars are ways that players can create trans Sims. Under the same Body category, all players can find a Body Scars category with an option for Teen and older male Sims (masculine or feminine frame) to add a Top Surgery Scar to their Sims. Players can add glucose monitors to the left or right arm, or the left or right side of the lower abdomen.

For glucose monitors, select the Sim’s body category in Create A Sim. The hearing aid comes in fifteen colors, and can be placed in the left ear, right ear, or both ears. The new Medical Wearables category includes a new hearing aid that can be put on any Sim who is a toddler or older. In Create A Sim, select your Sim’s face, then select Accessories.

How to equip medical wearables in The Sims 4 Most notably, the patch includes wearable medical gear like hearing aids and glucose monitors, and trans affirming customization options like binders and top surgery scars.

A new patch was released on Tuesday that includes a handy light switch, better building on consoles, and bug fixes. The Sims 4 is a bustling life simulator game with tons of inclusive options, and developer Maxis has added even more Create A Sim options for more authentic representation.