If you or someone you know is struggling with self-harm or a mental health crisis, support is available. You can contact a suicide and crisis lifeline (in the US and Canada), or reach out to the Crisis Text Line by texting HOME to 741741. International resources can be found at findahelpline.com.
: Highly regarded for detailed "Bruised" and "Scars" packs.
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As one of the largest moderated sites, TSR generally prohibits content that depicts active self-harm. Healed scars may sometimes be found under general "Body Scar" or "Skin Detail" categories, but they are rarely labeled explicitly as self-harm to comply with safety standards. Tumblr and Patreon:
Custom content creators often develop these items to provide visibility for real-life experiences. If you or someone you know is struggling
The Role of Self-Harm Scars Custom Content in The Sims 4 In the Sims 4
: Collections that feature a mix of bandages, awareness ribbons, and various skin overlays. : Highly regarded for detailed "Bruised" and "Scars" packs
If creators do publish these items, the community generally expects strict adherence to safety etiquettes:
For many, the inclusion of life marks—such as scars from various life events—is a way to symbolize a character's history and their journey toward healing.
Many players use the game to write complex stories or recreate specific characters from books, television, or personal writing who have histories of mental health struggles.