Private Practice 2.2.0 (BETA)
🕑 Added 2021-03-10 03:19:09 +0000 UTC
Update History
04/03/21
- Street Vendor, Doctor, and Restaurant NPCs are now immune to illnesses.
- Lifestyle and environment now further affect allergy development. Things like a green eco-footprint and eating honey will reduce the likelihood of developing allergies while things like industrial footprints and exposure to cockroaches increase the likelihood.
- Grim Reaper is now permanently vaccinated against all diseases.
- Service NPCs have their own immunity level, daily NPCs have the highest level available.
- Toned down Allergy Development that is both realistic and easier to play with.
- Home Remedies (orange juice, green tea, to-go green tea, bee tea, wellness tea, and naps) now help ease illness symptoms (excluding infections, which require medicine).
- Medicines are here! Modeled by AggressiveKitty. With brand new medicines in the ranks: loratadine (Clear Day Brand), a generation 2 antihistamine + Daytime Cold & Flu (ConEx Brand), a non-drowsy cold, and flu symptom suppressant.
- A majority of illness base buffs are invisible with notable exceptions being buffs experienced by toddlers and the stomach flu bug. Scarlet Fever is still visible but so long as your Sim starts antibiotics with Strep Throat, that won't be a concern.
- Infections now have occasional symptom buffs to make up for being invisible so players can know something's of concern.
- Roommates now use hand sanitizer more regularly and therefore have their sickness chance cut in half; they also benefit from the 50% chance of removing all sickness buffs.
- Batuu NPCs will not get sick; where they get this strength is a mystery. 😉
- There are now measures to prevent Get To Work illnesses from happening while a sim already has a cold, flu, stomach bug, strep, or mono.
Mod Summary
The goal of this mod pack is to rework the Health system of the Sims 4. Exploring the ability to take care of your Sim's Health all under the same roof if you wish. ***REQUIRES SIMS 4 GET WORK***
Public Mod Guide:
https://www.simrealist.com/p-p-guide-menu
Summary of Changes
We added/changed the following:
- ALLERGIES SYSTEM: Added in Allergies based on the Sim's environment.
- COLD AND FLU SYSTEM: Added in contagious viral infections based on the season.
- INFECTIONS SYSTEM: Introduces possible Ear, Sinus, Respiratory, and Strep Infection into the Sim's Health System.
- ADDITIONAL VIRUSES: Added Norovirus (stomach flu) and Mononucleosis into the Health System.

Allergies System
This update adds in a new Allergies System based on the regional plant species' pollen and spores that can develop allergic reactions over time. Certain pollens/spores are more allergenic than others (i.e., Mother Plant spores due to their invasive nature).
To start, you will want to set up a Checkup appointment at your Sim's Clinic or Health Center. During this Checkup, their Nurse Practitioner will deliver the results for any allergies that you will need to be aware of when sending your Sim out into the world. Most often, the first checkup will reveal little to no allergies but by design, you should see a change in this report.

Allergies List:
- Newcrest Cypress
- Newcrest Ragweed
- Willow Creek Willow
- Willow Creek Ragweed
- Leaf Mold
- Britechester Birch (Discover University Pack required for this allergy)
- Del Sol Valley Ragweed (Get Famous Pack required for this allergy)
- Granite Falls Cedar (Outdoor Retreat Pack required for this allergy)
- Guzmania Pollen (Jungle Adventure Pack required for this allergy)
- MotherPlantSpores (Strangerville Pack required for this allergy)
- Windenburg Ragweed (Get Together Pack required for this allergy)
- Windenburg Spruce (Get Together Pack required for this allergy)
- Glimmerbrook Spruce (Realm of Magic Pack required for this allergy)
- Sulani Hibiscus (Island Living Pack required for this allergy)
- Brindleton Bay Ragweed (Cats & Dogs Pack required for this allergy)
- Evergreen Harbor Pine (Eco Lifestyle Pack required for this allergy)
- Dust Bunnies (Bust the Dust Kit required for this allergy)
As your Sim(s) develop Allergies to the above possibilities, you will notice negative emotional buffs appearing, giving you a heads up that you may need to give your Sim(s) one of the Allergy Medications below.
TREATMENTS (objects found in Build/Buy - search Private Practice):

Cold and Flu System
This mod version introduces a contagious Common Cold and Influenza virus system. Both viruses have their respective seasons (Common Cold is Fall/Winter and influenza is Winter/Spring).
Sims have a chance of bringing home an illness from school or work, or potentially catching a Cold if they’re cold or wet (not 100% realistic, but the chance is about the same level as a weather-related illness in the Sims 2). The Common Cold’s incubation period may be symptomatic (respiratory symptoms, throat discomfort, and dulled sense of taste), while the flu’s incubation is more common, with the virus’s effects coming on at once.
Both viruses carry a chance of a fever (Feverish buff from Get To Work), but a cold may bring about head congestion (pressurized buff from Get To Work and occasionally a headache). New storytelling social interactions are included, inspired by the Sims Mobile story events: Ask if Feeling Okay, Offer Tea, Suggest Calling in Sick, Offer Tissues, Ask How to Help, and Criticize For Getting Sick. Traits impact the sims’ reactions to such interactions.
TREATMENTS (objects found in Build/Buy - search Private Practice):
- Home Remedies: orange juice, green tea, to-go green tea, bee tea, wellness tea, and naps.
- Medication:

Infections System
This system introduces Ear, Sinus, Respiratory, and Strep Infections to the game. ll Infections are more likely for sims with allergies from the allergen system.
STREP INFECTIONS
Only strep Infections are contagious and can lead to (a currently very mild form of) scarlet fever if untreated. Strep Infections can be contracted while a sim is at school.
EAR INFECTIONS
Ear Infections are more likely to occur when a sim is swimming, and a Sinus Infection is more likely to occur if a sim is experiencing a moodlet like “Stuffed Up.”
RESPIRATORY INFECTIONS
Respiratory Infections are extremely likely for sims who are smokers or exposed to secondhand smoke in games using Basemental’s mod.
TREATMENTS (objects found in Build/Buy - search Private Practice):

Additional Viruses
NOROVIRUS - Stomach Flu
Norovirus can be contracted at school or through the “What’s Up Chuck?” Parenthood chance card; it can also occur occasionally through an occasional event. It’s contagious through a broadcaster and causes symptoms like nausea, vomiting, and diarrhea (faster bladder decay). There is a “throw up” self interaction for sims with norovirus who cannot find or use a toilet (Child sims, particularly, as they lack the toilet interaction.) Toddlers, who cannot experience vomiting, will instead have a loss of appetite (slower hunger decay), diarrhea (faster bladder decay), general fussiness (faster attention decay), and fatigue (faster energy decay).
TREATMENT: None, except to keep your Sims home and comfortable.
MONONUCLEOSIS
Mononucleosis can be contracted at high school (if they have the “had first kiss” trait, letting them possibly kiss an infected significant other during school hours, other traits that might make them more inclined for such behavior, or the “slob” trait from potentially drinking another student’s water), drama club (from kissing scenes and potential water bottle mishaps), or the acting career (same as drama club). A sim carrying Mononucleosis in an infectious period may spread it through kiss tagged interactions. Mono symptoms include sore throat, fever, fatigue (faster energy decay), and chills. After a bout of Mono, however, the sim will be immune to ever getting the illness again.
TREATMENT: None, except to keep your Sims home and comfortable.
Sick Visits
All of these new viruses and infections are identifiable during our current Sick Visit event. Right now, they may not be a treatment option for most of these additions but in the future, these visits will allow you to figure out what is going on with your Sim and which treatment you need to buy for them to relieve their symptoms or cure their illness.
Placing or Creating a Medical Clinic Lot
In case you are new to this Private Practice process, this section will get you started on preparing your save for the new options provided by this mod. To get started, you will need a lot with the Private Practice Lot Trait. This can be any type of lot that is non-residential except for LittleMsSam's Medical Clinic. If you would like just a Clinic, you can use the Generic lot type with this lot trait. I made a test clinic (Newcrest Health Center) for you as well, so you don't have to immediately build one. It will provide an example of what you will need for each function of the Clinic and see the potential for additional features to come. You can then build whatever kind of Clinic you would like. To add my test Medical Center to your game, you can either use the tray files included in the mod download and put it in your Tray folder, or you can look up the EA Account ID: SimRealist. When placing a pre-built Medical Clinic or Center, please be sure to go into Build Mode, confirm the correct lot type and trait, and then SAVE before attempting your first appointment.
The release of Private Practice 2.0.0 included Kate Emerald's Clinics and Center, which l also made available for you to use with this mod. They will be available in the Gallery under the SimRealist name as well. We've also included both the Generic (Newcrest) Health Center and Kate's builds in the download below for your convenience.

Objects you will need to have a complete Private Practice Clinic or Center are below. Kiosks and Sample Cart can be found in Community Items. The Private Practice sign can be found in Wall Decorations. The Get to Work Exam Bed can be found under Recreation objects with cheats testingcheats true -> bb.showhiddenobjects.

SICK VIST APPOINTMENTS
CREATING A SICK VISIT APPOINTMENT
To set up a Sick Visit, you must first go to a Sim's MyHealthPortal app in the Household phone menu. From there, choose the option to Schedule an Appointment, and the mod will guide you through the process of choosing who will be the patient and if a child is chosen, a Caregiver (required). Then it will ask you what kind of Appointment you would like to schedule. For this update, you now have both a Health Checkup and a Sick Visit Appointment option. You can choose whichever option your Sim needs, but to start a Sick Visit, choose Sick Visit. After this step, you will choose any of the available Clinics to have your appointment. The difference you will immediately see between a Health Checkup and a Sick Visit is that Sick Visits are scheduled asap or within 30 minutes of the appointment request.

DAY OF APPOINTMENT
On the day of the scheduled appointment, your Sim will get a reminder. All PATIENTS will be put on Vacation so they will be ready when the time comes (mod adds a day of vacation, so no days lost). Caregivers will be called away from any job or location they were at for the appointment.
When it is time, you will see a pop-up to start the appointment. Click this option, and the mod will send your Sim(s) to the location of their appointment. Once there, follow the Guidance System for this Appointment. It will tell you what you need to accomplish with each patient scheduled.
Sick Visit Process:
- Check-in at a Check-In Kiosk
- Complete Urinalysis with the Peeing in a Cup interaction at any toilet on the premises. Preferably the bathrooms that have Sample Carts inside for your Sim's ease of use. If none are nearby, your Sim will place it at the closest viable surface.
- Complete your Sim's final checks by sending them to the Wellness Kiosk to measure their weight and blood pressure.
- Your Sim will then go to the next available Exam Bed to wait for a Nurse Practitioner.
- A Nurse Practitioner will then take your Sim to a Treadmill and then an X-Ray machine when ready. Please wait for the mod to push this interaction; you need an N.P. in order to complete these tests.
- If the Diagnosis should be mild, a Physician Assistant (P.A.) will come by to give your Sim their Diagnosis. If the Diagnosis should be severe, a Medical Doctor (M.D.) will deliver the results. All results can also be found in the Sim's MyHealthPortal app.
- Your Sim can finally check-out once their results are delivered. They can do so at a Check-Out Kiosk where they will pay for their visit. Failure to pay will result in an addition to their Household bill.
- If the Sim has High or Low Blood Pressure, please be sure to stop by our Capsule Kiosk (Pharmacy). This Kiosk will allow your Sim to buy medication that will assist with this issue. Your Sim will need to take this medication once a day. Failure to keep a handle on this diagnosis could later result in not just a shorter life-term but possible death through our upcoming custom illness, Heart Attack. If your Sim is sick, you can also buy EA's medicine from here as well at any time until your Sim is required to have another Checkup.
Compatible With:
Patch 02/25/21 PC: 1.71.86.1020 / Mac: 1.71.86.1220
Conflicts/Issues/Notable Items Observed:
- Illnesses may go away with one dose of medication, but try two-three evenly spaced doses if that isn't the case.
- Sometimes your Sim may put the Urine Sample Cup on another surface other than the Sample Cart. It is best to have the Sample Cart in the bathroom to avoid this, but the RNs will take care of picking it up even if it isn't in the right spot.
- Private Practice clinic does not work on LittleMsSam's More Buyable Venue Medical Clinics.
- Conflicts with any mod that uses this game resource file: S4_E882D22F_00000003_000000000001BDE2_hospitalExamBed_Patient_Sit_Idle_autonomous / 0xE882D22F-0x00000003-0x000000000001B408 / 0xE882D22F-0x00000003-0x000000000001B407 / 0xE882D22F-0x00000003-0x000000000001A519 / 0xE882D22F-0x00000003-0x000000000001BDE2 / 0xE882D22F-0x00000003-0x0000000000019DD6 / 0xE882D22F-0x00000003-0x0000000000019DEE / 0xE882D22F-0x00000003-0x000000000001C3CF
Changelog:
https://www.simrealist.com/p-p-changelogs
Credits:
- Nathan: SR Mod Developer
- Victor Andrade: SR Mod Developer
- roBurky: SR Mod Developer
- thepancake1: SR Animator
- Nichole: SR Mod Producer
- Kate Emerald: SR Architect
- AggressiveKitty: Medication Bottles
THANKS TO:
TURBODRIVER: for scripting assistance on push interactions and the game's UI dialogs.
Nisa K: for scripting assistance and advice.
Nies: for the addition of her Cooler Sickness Mod.
MizoreYukii for assistance in making the SimData for the illness commodities.
TOOLS USED:
- Sims4Studio
- Zerbu: Mod Constructor (V4)
- Scumbumbo's XML Extractor
- Neia's Create-A-Career Tool
- Blender
Download
Attached Below or on download on itch: https://simrealist.itch.io/private-practice-patreon/patreon-access
Private Practice will be publicly available for non-patrons on June 26, 2021.
How to Install
VISUAL GUIDE: Private Practice - How to Install (this is for the Public version but still applies to Patreon versions)
TEXT GUIDE:
New User
- In-game, go to 'GAME OPTIONS' and then 'OTHER.'
- Make sure the "Enable Custom Content and Mods" and "Script Mods Allowed" boxes are checked.
- Exit game (or make sure to Save and Exit if in the middle of a game)
- Extract mod
- Place the .ts4scrpt, .package, Careers.pack & Data.package files found in the downloaded folder called SimRealist_-_PrivatePractice (Mod Files) into your Mods folder (Documents > Electronic Arts > The Sims 4 > Mods)
- Remove the pre-built venues files that you would like to have into your Sims 4 Tray folder. You must remove them from your folders and enable Include Custom Content in your Gallery's filter in order to see the pre-builts you loaded in.
- If you would like to keep it in a folder, only place it one subfolder deep!
- Restart Game
- Done!
Existing User
- Exit game (or make sure to Save and Exit if in the middle of a game)
- Remove any SimRealist Private Practice files
- Extract mod
- Place the .ts4scrpt, .package, Careers.pack & Data.package files into your Mods folder (Documents > Electronic Arts > The Sims 4 > Mods)
- If you would like to keep it in a folder, only place it one subfolder deep!
- Restart Game
- Done!
Mod Support/Assistance:
If you are experiencing an issue with this mod, please head over to our Discord server channel: #patreon-mod-support (https://discord.gg/97hyxrM). DO NOT PUT SUPPORT QUESTIONS IN THE BELOW COMMENT SECTION! The Comment Section is more for feedback.
To connect your Patronage to Discord, please follow these instructions: https://support.patreon.com/hc/en-us/articles/212052266-Get-my-Discord-role
Comments
SimRealist
Please reach out to us on Discord. You need to be on the latest version of Private Practice here as well. https://simrealist.itch.io/private-practice-public
Hi, so I download the mod onto my game but every time I try to play a household it always kicks me out. What should I do?
SimRealist
I hope you are using this version: https://simrealist.itch.io/private-practice-public
hey, I can't find the private practice items in build mode
SimRealist
Our mods are not translated until they go Public due to possible changes that could occur while in testing.
Neffets Relleum
hallo, gibt es auch eine deutsche version? hallo, is this translate in german?
SimRealist
No. Just know that it may be hard to pinpoint which is making your Sim ill if you are not familiar with this mod and what it offers.
Nita
hi, love your mod! do you know if it will conflict with SOL?
SimRealist
No, it does not conflict with the HR mod.
Tayler
Does this mod conflict with Adeepindigo HealthCare Redux? Sorry if this is posted somewhere, can't seem to find anything.
SimRealist
Try the visual guide found in the install instructions to ensure you installed it right and placed your lot correctly. If you want one on one assistance, please visit us on Discord.
for the life of me my sim can't check in at kiosk so fed up now tried every thing
SimRealist
Private Practice went public. You can get this mod here for free: https://simrealist.itch.io/private-practice-public
Samantha Shupe
work^
Samantha Shupe
How do I download this it keeps taking me to a site that doesn
SimRealist
The one's you speak of usually have maybe one or two big mods they are updating constantly. We touch each mod in phases due to the amount we have and then add new ones.
Jooniper
Other creators have different versions for public and patreon, so I wasn't sure.
Jooniper
Ok so when public comes out, public and patreon are then on same version...got it. Thanks
SimRealist
No. Same situation. The “-“ leads off into the test version numbers. That falls off once released. 0.2.0.3 is the most current.
Jooniper
I've got the same problem with Mortem, can't tell if 0.2.0.0-8.0 is latest or if 0.2.0.3 (logic I'm familiar with says 0.2.0.3 would be newer than 0.2.0.0 but not sure if the 8.0 part changes that logic)
SimRealist
2.2.0.4. Whe we switch to public, we drop the testing numbers, example “-12.0.” Then we add in translations with the last number, example “.4.”
Jooniper
which is the newest version? 2.2.0.0-12.0 or 2.2.0.4? Or I guess the version with the most features. Maybe an explanation of your numbering system might be good.
SimRealist
Is this your first time using this version that we released yesterday? If not, please try without the mod installed to clear out lingering illnesses from prior versions and then bring this back in.
Aelan Ryland
My sims are constantly sick. I took them to a wellness visit, they got the flu shot and then they still constantly have the bloaty head or triple threat or even the cold, every single day without fail. I even took them to a sick visit, the doctors said they were fine, and they are still miserable.
SimRealist
Did you take her to the doctor for diagnosis? Sound like she needs medication to alleviate this symptom.
Nia Paige
The only issue I've had with this mod is how soon their needs decay. My sim can wake up at 6:00 in the morning with a full night's rest, by 12:00 pm she's extremely tired. Can I toggle this in game?
SimRealist
Stuck being they are waiting for an NPC? Please head over to your Discord to provide more detail in case a developer needs to look at the error. Thanks!
SimRealist
See us over on Discord, if you haven't already, so we can take a look at your install.
Hey! I'm not really sure if it's a compatibility issue, but when I get a sick visit and my sim has to go to the treadmill, they just get stuck :/ I have to cheat to complete the appointment, but it's ok if it's just a check up. My sims also are constantly uncomfortable and get sick way too often...
Freyya_
Hi, what could be the issue when the sim doesn't travel to the medical lot when its his appointment? I tried go there manually when he didn't go there himself, but the check-in kiosks are not clickable and there are no "tasks" showing up either.
SimRealist
You're welcome ❤️
Takia Wright
Thank you for the update! Great Mod!
SimRealist
Answered on Discord
Pyxie
What do you plan to do with this mod (https://adeepindigo.tumblr.com/post/651072235459772416/healthcare-redux) in mind? Do you plan on working with Indigo Landing?
SimRealist
You're so very welcome!
Diamond Rose
Thank you for fixing the issues i was having.
Harold Brinkley
Hiya I am stuck. I cant seem to check in at the clinic. I have The private practice lot trait, and its definitely on a generic lot, I can't click the check in or check out kiosk. I also have adeepdingo healthcare mod installed. Please help. I dont have discord/ know how to use it
SimRealist
Update coming today to resolve this for everyone, hopefully. In the meantime, remove the mod to start your Sims fresh for when the update arrives.
All of my sims are constantly sick with the stomach flu, and I can't make it go away even with cheats. It's getting so bad I'm thinking of removing the mod How can I reduce the number of occurrences?
SimRealist
Previously responded.
SimRealist
Please refer to our visual install guide. If that doesn't resolve it for you, then please reach out to us on Discord for one-on-one support.
SimRealist
Patreon files are never translated. As soon as it goes public will the possibility of translation being included is likely.
Loli Deen
Is gonna be traslated at spanish?
Loli Deen
My sims go to the clinics but can't check in
Loli Deen
Isnt working for me...
SimRealist
I completely understand. Please have a look at our visual install guide to make sure you installed the mod correctly and placed the prebuilt venue accurately. Most common issues I see is the lot type switching back to the original lot type after placement or using the Medical Clinic lot those which isn't compatible with a Private Practice lot trait. For additional assistance, please go to Discord.
Ashleigh Baker
It is not letting me check in. im frustrated i had to pay for something that doesn't work.
SimRealist
Please go to Discord for support on this. We need to take a look at your install to confirm. If you would like to test with just this mod installed before going that route, you can. Just be sure to remove cc AND mods ad leave just private practice.
My sims appointment (check up and sick visit) refuses to start. Considering going back to the public version. It's installed correctly so I don't know what the issue might be.
SimRealist
Have you followed up for support on Discord?
Linda
I’m not sure where to go with this. But when my kid is sick I can’t click on the treadmill, x-ray machine or the kiosk to purchase the medicine. And the caregiver can’t do anything either cause they’re not the patient. Am I suppose to cheat this.
SimRealist
As mentioned previously, we plan on adding those new medications to the kiosk this month. We ran out of time last month.
is there anyway you can add the medications to the prescription kiosk or create a way we can buy through the computer or phone?
SimRealist
It will be soon with another update this month.
the new treatments/medicine is only available in build mode? can it be also purchased from the kiosk
SimRealist
You're asking for multiple pills in one bottle? Right now you can buy multiple bottles and store them in your Sim's inventory. We will be adding them to the pharmacy kiosk as well.
Linda
Love this..... actually I love every mod you’ve put out. My sim has an allergy and I was wondering if there is a way to give them pills for the medication. Ones where you take daily, instead of going in and out of build mode. Maybe in the form of the WW birth control method.
SimRealist
The new medication is not in the kiosk yet. We plan to update the mod once more this month to integrate that in. We ran out of time last month in getting that piece added. You can buy these items in build/buy per my notes.
Татьяна Воробьева
Is it normal that I have no new remedies in the Kiosk? I have access (I've finished a sick visit), but I see only blood pressure remedies in the Kiosk.
SimRealist
We are working on an update for that along with Mortem. We hope to drop that this weekend. Stay tuned!
MK29
Hey this is a great addition to the mod but ive had to go back to the public version as my sims were constantly sick :( !!
SimRealist
Check your install and lot placement with the visual guide found near the bottom of this post. For further support, please go to Discord.
SimRealist
A tone-down version is coming soon.
SimRealist
Check your install and lot placement with the visual guide found near the bottom of this post. For further support, please go to Discord.
deshonsims
Hey Im having an issue where they can't check in at the Kiosk. Nothing happens at all when I hover over the kiosk or none of the Medical items. Is this a glitch ?
Sheila Lobert
Is it normal for a newly created sim to get SEVERAL illnesses/allergies in a row stacking on top of each other? Also, have you considered a strong immune system reward trait?
It's not allowing my sim to click the check in Kiosk to start my appointment...what am I doing wrong?
SimRealist
I haven't updated this version yet to tone down sicknesses and allergies. Did you change to the Public update that came out today? If so, you need to remove that version and update with what we have here.
Ceara Ivory
my sims are not getting allergies or getting sick. before they were getting sick almost all the time. have you toned that down or is something up with my version?
SimRealist
Yes, it is a Sim menu option called Antihestimine.
i know it says that there isnt a physical objects for the allergy pill but is there another way to get it cuz my sim of course is racked with allergies
Shanice
I have been playing every day with this new private practice update!. It is amazing and so realistic wow great job guys.
SimRealist
There isn't a rabbithole any longer. You'll need a clinic; get the smallest one at least or combine it to another venue.
Jennacide
What happens if you don't place a clinic lot, say there isn't room in that particular world, will my sims still go to rabbit hole appointments?
CapriSim
I laugh with endearment at the sheer creativity you guys show. This mod is so fantastic. Well done👏 👏 👏



