“The Sims 4”, the fourth major title in the series of life simulation video games developed by maxis and published by Electronic Arts EAhas a new patch that includes more extensive customization options.

The update, released this Tuesday, brings a handy light switch, improved build options for console players, and bug fixes.

See also: You can now select custom genders in The Sims 4

But best of all, the new patch also introduces wearable medical devices like hearing aids and glucose monitors, as well as trans-affirming customization options like binders and top surgical scars.

Accordingly Polygon, this isn’t the first time The Sims has made strides toward better representing the trans community.

For example, in 2016, the binary gender restriction for Sims was removed, allowing players to customize their characters on a spectrum between male and female options. Then, in May 2022, Maxis introduced the ability to choose customizable pronouns for Sims, including the option to use neopronouns.

While most gamers prefer the included update (with many Testimonies about how The Sims franchise helped players on their personal journey of self-discovery), other people attacked the game.

This is the case David Rubin, a conservative political commentator and YouTuber who criticized the update on Fox News. “The wake mind virus has not only infected our government institutions, but also our educational establishments and our entertainment establishments,” he said.

It is worth noting that The Sims franchise has sold almost 200 million copies worldwide and is one of the best selling video game series of all time. Additionally, since its release in 2014, The Sims 4 has had over 50 million unique players.

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Image: Courtesy of Maxis/EA