The Sims 4: Get to Work, released on Jun 27, 2025, is the franchise’s first expansion pack, and is centered around work life. Its introduction of active careers is a significant addition to the game and brings back a popular feature fromThe Sims 3 Ambitions. With this feature, players can take a more immersive approach to their Sims' careers, actively participating and guiding them to complete tasks and earn promotions. No longer will Sims disappear into a rabbit hole during work hours, providing a more interactive experience.
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Among these active careers inThe Sims 4is the Doctor Career, where Sims interact with patients, diagnose illnesses, and offer treatments. In addition to active careers,Get to Work also provides numerous other gameplay featuresthat allow for deep engagement in the work lives of Sims.
Sources for this article and its images includeEA.comand other content creators.

Doctor Career General Info And Promotions
Compared to other careers inThe Sims 4, the Doctor career is more demanding and challenging. However, therewards for completing these tasks may not be as significantas the required work. While there are some minor benefits such as improving the general health of Sims and the ability to determine the gender of a baby for pregnant Sims, players must be attentive and diagnose diseases correctly based on visual symptoms and test results.
Initially, Doctor Sims will perform basic administrative tasks such as greeting patients and taking their temperature. However, as they progress through their career, their responsibilities become more complex, including diagnosing and treating illnesses, assisting with childbirth, and even dealing with emergencies such as work emergencies or house calls. This means Doctors may be called to work outside their designated work hours, similarly to otherGet to Workcareers. There are a few hospital venues, with particularly fun names, including Cut-N-Gut Health, Simulacrum Labs, The Mustard Clinic, T. Pose Medical, and I Fell Down, A Wellness Center that doctor Sims can work at, and outside of the house calls they won’t have any tasks outside these lotsunlike the Detective Career. Compared to the other active careers in the pack, it also has the most varying work schedule between the promotions.

§18 - Friday to Tuesday 07:00 - 15:00
Attend an active work day at 2 times

§23 - Saturday to Wednesday 07:00 - 15:00
Treat 2 Patients
§192 andNew Clothes, Doctor Xavier Ray’s Display, Not So Blind Eye Chart
§35 - Sunday to Thursday 08:00 - 16:00
Treat 3 Patients
§256 and “Give Medical Advice” and “Give Bad Medical Advice” (Mischief Skill level 3) interactions. Also unlocks X-Ray Machines to be used at work.
§49 - Monday to Friday 09:00 - 17:00
Successfully Diagnose and Treat a Patient
§312 andNew Clothes, Defeat the Darkness Surgical Light. Also unlocks Medical Treadmills to be used at work to examine patients.
§68 - Sunday, Tuesday, Wednesday, Friday 06:00 - 16:00
Successfully Diagnose and Treat 2 Patients
§384 and Check Hotness interaction, Restless Thankless Medical Stool. Can use the Surgery Tables at work.
§95 - Monday, Wednesday, Thursday, Saturday 07:00 - 17:00
Successfully Diagnose and Treat 3 Patients
§576 and Doctor of Medicine Diploma. Can also use the interaction to determine baby’s gender on pregnant Sims.
§816 andNew Clothes, Seat of Health
§1,136 and Sickness Resistance trait, The Diligent Doctor’s Desk
Successfully Diagnose and Treat 5 Patients
§1,496 and Skelly Sim
§280 - Monday to Friday (Excluding Wednesday) 09:00 - 19:00
None
§1,720 and Styled Room: “General Hospital”
At the beginning levels of the Doctor career, players will focus on mastering daily tasks to raise their performance without dealing with patients. However, at levels 2 and 3, players must treat patients who have already been diagnosed. Tasks become more complex from level 4, as players need to diagnose patients before treating them. Unlike the Detective andScientist careers, which have more linear promotiontasks, the Doctor career requires specific tasks like surgeries or delivering babies for promotions.
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Rewards for the Doctor career include new interactions with Sims and objects, such as determining a baby’s gender. Additionally, the Sickness Resistance trait is useful as it reduces the likelihood of getting sick and speeds up recovery time. The work schedule can be challenging to balance, especially for Sims with families, but at level 10, the career has thepotential for good incomeand balanced free time, with both weekend days off.
How To Get Promotions Quickly
The Doctor career does not rely on specific traits that give Sims an advantage, as the tasks generally do not require any particular skill. However, having a high Handiness skill can be useful, as Doctor Sims can upgrade medical equipment to be unbreakable, saving time throughout the day.Maintaining a focused moodletis recommended, as it can help increase job performance, but it does not provide additional benefits like it does for the Scientist career, where being focused is important for having breakthroughs.
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Promotions ultimately depend on high job performance and completing promotion tasks, while diagnosing patients requires players to be observant and conduct enough medical examinations to successfully diagnose the case. In this case, reward traits such as theObservant trait from the Satisfaction Points Shopwill not help diagnose patients more successfully. During work hours, players should pay attention to the required tasks in the top left corner and focus on completing them to avoid losing job performance.
How To Successfully Diagnose And Treat Patients
The most challenging aspect of the Doctor career is the task of diagnosing patients, which sets it apart from the other two careers in theGet to Workpack. Players are given only one opportunity to accurately diagnose a patient, and success is dependent on the results of various tests as well as visual observations of the patient’s behavior and any physical markings. While examinations may only narrow down the possibilities to 2-3 illnesses, using visual cues can help pinpoint the correct illness in most cases. Without a correct diagnosis, Sims will not receive the appropriate treatment, which can negatively impact job performance. It is important for players to take note that certain symptoms, such as rashes, may be present in multiple illnesses. However, these symptoms may appear slightly different depending on the specific illness, which can be helpful in narrowing down the correct diagnosis. The same rash may appear for multiple diseases, and also it is not always a consistent symptom for a particular disease.
Headache, Steam coming from the ears,Orange and Green Spots Rash
Burning Belly
Stomach Pain and Fever (This is a rare disease that needs surgery)
Gas and Giggles
Random and occasional Farts and Laughs,Tiger Stripe Rash
Itchy Plumbob
A lot of itches,Presence of Rash(Orange and Green Spots Rash or Tiger Stripe Rash)
Fever, Cough, Sneeze, Cloud of Gas,Orange and Green Spots Rash
Dizzyness, Swatting at invisible objects,Swirly Rash
A lot of itches,No Rash
Triple Threat
Dizziness, Coughing,Swirly Rash(Another rare disease that needs surgery)
Once the player is sure of the disease, they must select the disease from the options and treat option will come up. Once the treatment is done, players will find out whether it was a successful treatment or not. Surgery as a treatment will only be present with two rare diseases or otherwise when delivering a baby, which makes the promotion task for performing surgeries quite difficult as it is entirely random.
Work Emergencies / Special Occasions
Apart from their regular tasks, Doctor Sims may encounter work emergencies on certain days, such as Delivering a Baby, House Calls, or Understaffed days. While not always mandatory, it is highly recommended that Sims prioritize these tasks when they arise. Delivering a baby is a genuine emergency and also serves as a promotion task. Its occurrence is random, but when it happens, it should take precedence over other patients.
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House calls are typically less urgent but can arise at inconvenient times. While it is possible to skip them, completing house calls can be an efficient way to complete tasks and improve work performance. Players can check for more details on house calls by clicking on the front desk. There may also be times when the hospital is understaffed, requiring Doctors to perform tasks outside their regular duties, such as cleaning or mopping. Players can identify these special events by hovering over the meter in the top-left corner.
The Sims 4is available now for PC, PS4, PS5, Xbox One, and Xbox Series X/S.