To identify an ailment reliably, have a Naturopath admit the client with Conduct Client Intake, then use Perform Holistic Assessment and Discuss Root Cause. If the Sim has an ailment, treat it with a cure made at the Leafy Ledge Apothecary Table or ask a friendly Fairy to cure it. EA has not published a complete symptom chart for every ailment, so mood or behavior alone is not a dependable universal diagnosis.
What causes ailments, and what clues are documented?
The Sims 4: Enchanted by Nature adds ailments through its Expansion Pack. EA identifies contagions and imbalance as the two primary sources; ailments can arise when a Sim becomes Very Imbalanced. The pack overview lists Greenie Meanie, Emotional Void, Simoleon Fever, and Sonic Sinuses as examples.
EA describes one specific ailment clue: Sims with Greenie Meanie are constantly angry and prone to outbursts, while learning and completing Gardening tasks faster. That description is an example, not a full diagnostic chart. For other ailments, EA’s published material does not enumerate all visual, mood, or behavior symptoms. For a reliable diagnosis, use the Naturopath assessment rather than guessing from a Sim’s presentation. EA’s pack overview
How to diagnose a Naturopath client
- Conduct Client Intake: admit the visitor to begin the appointment.
- Perform Holistic Assessment: assess the client after intake.
- Discuss Root Cause: use this interaction to determine whether the issue is an ailment or an emotional or physical problem.
- Treat an ailment: create a cure or remedy for the client.
An incorrect ailment diagnosis can send the client home unhappy and uncured. The official career instructions describe the sequence and warn about the consequence of a wrong diagnosis. EA’s Naturopath career guide
#1 Best Overall
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- Requires The Sims 4 & all game updates. For PC, see minimum system requirements for the pack.
- Create Vampires
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- Escape to Forgotten Hollow
- Live the Immortal Life
How to cure an ailment
Craft a cure at home
Use the Craft menu on a Leafy Ledge Apothecary Table. Recipes appear when the Sim reaches the required Apothecary skill level, and each recipe needs specific ingredients in the Sim’s personal inventory. Ingredients can be bought from market stalls, grown in a garden, or foraged in the wild.
EA’s Apothecary guide lists these ailment cures by unlock level:
Rank #2
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- Requires The Sims 4 & all game updates. For PC, see minimum system requirements for the pack.
- Develop Parenting Skills – Level up your Sim’s parenting skills to satisfy their child’s needs and influence their behaviors. Gain new abilities through experience and choosing when to discipline bad actions, encourage good behavior, or just let kids be kids.
- Shape Your Sim’s Childhood – The decisions you make influence how your Sim parents and leave a lasting impact on their child’s future. Each choice shapes their personality, affects their traits, influences their family relationships, and guides their path into adulthood.
- Gather your Sim’s family to participate in new activities and spend quality time with each other. Sims of all ages can work together to complete a variety of school projects, express their creativity using construction blocks, or volunteer their time for good.
- Customize your Sims’ looks and their home with new family fashion and build items. Give the kids’ bedrooms extra personality, remodel the kitchen to feel homier, and let your Sims express their sporty or artistic sides with new outfits.
| Apothecary skill level | Listed ailment cures |
|---|---|
| Level 1 | Creation Impulse Cure; Burning Passion Cure; Simoleon Fever Cure |
| Level 2 | Sonic Sinuses Cure; Green Meanie Cure; Luck Magnet Cure; Emotional Void Cure; Gnome Lure Cure |
The Apothecary skill has 10 levels, but the guide lists these specific cure unlocks at levels 1 and 2. Recipe availability depends on the Sim’s skill and having the required ingredients. EA’s Apothecary skill guide
Ask a Fairy
A Sim can ask a friendly Fairy to cure an ailment. EA confirms this option but does not establish that it is faster or more effective than crafting a cure. EA’s tuning FAQ
Rank #3
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- Requires The Sims 4 & all game updates. For PC, see minimum system requirements for the pack.
- Rule your story: Build a powerful Dynasty, shape shared Values, choose an Heir, or exile family members in a deep life simulation driven by legacy, prestige, and choice.
- Claim the crown: Rise through Nobility by winning the people, pleasing rival Nobles, dueling with swords, or exposing Scandals that can change the balance of power.
- Scandal fuels drama: Forbidden romances, secret children, and public disgrace can impact careers, relationships, Dynasty Prestige, and Noble Favor.
Choose a treatment route
| Situation | Available route | What you need |
|---|---|---|
| A household Sim has an ailment | Craft a cure at an Apothecary Table, or ask a friendly Fairy | For crafting, the recipe must be unlocked and its ingredients in the Sim’s personal inventory; the Fairy route requires a friendly Fairy |
| You are treating a Naturopath client | Diagnose through intake and assessment, then create a cure or remedy | Complete the client sequence and correctly identify the issue |
EA’s sources confirm these routes, but do not compare their cure speed or effectiveness.
Adjust ailment spread in settings
EA’s August 18, 2025 developer article places the setting at Main Menu > Game Options > Pack Settings > Enchanted by Nature. Turning off Enable Ailment Spread stops Sims from picking up ailments in day-to-day play and prevents ailments from jumping between Sims. Sims who already have an ailment keep it; they can wait it out or cure it.
Rank #4
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- A Different World - Explore StrangerVille, a rural desert town shrouded in secrecy. Encounter weird weather, creepy townies, dangerous plants, odd collectibles, and more.
- Unravel the Story – Immerse your Sim in unique and mysterious events. Unmarked vans appear in neighborhoods, government agents use secret listening devices, and scanners are key in detecting the unusual.
- Crack the Code – Have your Sims investigate using their Military training, searching for clues to solve a mystery that lies within the secret lab.
- Suit Up Your Sim – Get Sims in the mystery-solving mood by gearing them up in desert-inspired clothing and military fatigues, or prepare them for the end with conspiracy-themed clothes, secret agent attire, and a hazmat suit.
EA notes that directed Fairy abilities, PlantSim Poison Kiss, and visiting Naturopath clients can still introduce ailments under the described setting. If the menu differs in your game, check the current Pack Settings for the pack. EA’s tuning FAQ
Independent reader supportYour contribution helps us test, update, and keep practical guides available for everyone.What changed in the July 2025 update?
EA’s July 29, 2025 patch notes for PC 1.116.240.1020 / Mac 1.116.240.1220 and Console 2.17 reported that ailments trigger up to 75% less often, depending on household size and other factors. For contagion-based cases, EA changed the average interval from one day to three days between cases. The notes also say EA adjusted the Balance system so witnessing a death or experiencing extreme emotions would no longer instantly make Sims Very Imbalanced. These are EA-reported changes for that update, not a guarantee about later game versions. EA’s July 29, 2025 patch notes
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