Compared to the Sims 3, players are given greater ability to manipulate the shape of their Sims by dragging body parts. This includes the ability to enlarge breasts, which the player can then zoom in on. It is also possible to dress your Sims in revealing lingerie. Sexual content during gameplay is the same as previous instalments in the series, with sex taking place out of view although bed sheets can be seen moving with the characters making sounds underneath.

Violence during the game is mostly slapstick in nature and takes place in a cloud of smoke. It is possible to slap another Sim and to defend against this slap by grabbing the hand and pushing it away. In both cases there is no obvious physical harm or injury. Sims can also set themselves on fire, which causes their skin and clothes to go black, but again there is no physical harm. They simply hop around shouting.