: Feelings of deep sadness, numbness, or "emotional damage" that trigger at random intervals.

: While primarily known for combat and crimes, this mod by Sacrificial includes options for Sims to engage in self-destructive behaviors, including suicide.

For many players, mods that introduce realistic mental health challenges are not about glorifying harm but about creating "flawed" or "complex" characters whose lives reflect real-world difficulties. These mods typically add: