Children are non-playable and can not be killed. A sim's baby will grow in to a child after a few days, but a child will only grow into an adult to replace a deceased parent. Babies are the only sims that can age.Carrier pigeons serve as communication.As with jobs in Sims 1 & 2 the player doesn't accompany the sim - instead Chance Cards pop up to let the player decide whether the quest is successful.

There are surrounding environments, such as the forest or other kingdoms, where sims can travel to undertake quests. The player must stay in the kingdom, but the Heroes can leave.A Hero's mood is measured with the focus meter, which is influenced both by happiness and by task completion.

Sims only have two needs: Energy and Hunger.

Two traits are positive or neutral, and each character must have one Fatal Flaw, though sims can replace it with a Legendary Trait during certain quests.

The Sims Medieval allows the player to give Heroes three traits, which determine their personality and slightly alter gameplay.

Both churches have priests, hold sermons, and perform marriages. The Jacoban Church is predominantly fear-based, whilst the Peteran Church preaches love. Medieval has two separate churches that believe in the same god called The Watcher (the player).

Religion is present and the player is its sole god.

Heroes can kill each other by agreeing to duel to the death or a monarch sentencing a subject to death.Successfully completing a quest grants Resource Points which can be spent on new buildings including those which add new Heroes to the Kingdom. Each Ambition grants a starting pool of Quest Points which can be spent in Kingdom Mode to choose a Quest which may also require choosing a Quest Approach as well as which Hero(es) to use.'Annex as many foreign Territories as possible.') and naming their Kingdom. Play begins with the player choosing an Ambition (e.g.Gameplay is quest-driven rather than the extreme sandbox of previous The Sims games.The Hero Sims gain experience and advance in level by completing these quests. In The Sims Medieval, the player creates and controls Hero Sims, who are crucial to completing Quests.

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