How to add top surgical scars to your character in Sims 4

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Now there are even more ways to add variety!

When EA was planning the latest “Behind the Sims Summit” for a patch release, the Sims community rumor mill began to seethe. The last BTS summit dropped the news that a new phase of life – toddlers – was coming to the Sims 4 soon, and many Simmers were hoping it would be this post-livestream update.

And while we only had one due date for Sims 4 Infants to arrive, this update added something pretty epic – top surgery scars – and took another huge leap forward in terms of diversity, both in The Sims and in the entire game industry.

Adding top surgical scars in The Sims 4

This isn’t the first foray EA has made towards transgender portrayal in TS4. A previous update gave Simmers the ability to essentially edit a Sim’s gender in Create-A-Sim in great detail, choosing any combination of gender, body type, clothing preference, pregnancy ability, and pronouns.

Even more display options in TS4

For example, I recently created a transmasculine non-binary sim with male gender, male clothing, female body type, and them/they pronouns, giving it the appearance of an AFAB (Assigned Female at Birth) person who had top surgery (a gender confirmation procedure in which the breast tissue and/or nipples are removed).

But this new free update adds even more gendered realism and diversity to the world of The Sims by adding a new CAS category – body scars – as well as lower body binders and shapewear to the Sims’ clothing options. This update also added a category of medical wearables, one of the first steps EA has taken toward disability representation in the franchise.

The Sims community has long called for greater representation of diverse people and bodies, and this update shows that EA is listening. I hope that other developers will pay attention to this as well.