My sim keeps dying of pufferfish when she isn't eating pufferfish. First, she traveled to a retail bakery and ate some bread and I got the notification she was dying of pufferfish. I tried to have her brother plead for her but Grim said not a chance. Usually I let these things just happen and deal with it because I do love random deaths but I pretty much just started this save and I wasn't ready to let her go yet. I quit without saving and lost only about 12 sim hours that I had to redo. No big deal really. A couple sim days later she is drinking coffee and then again I get the notification she is dying of pufferfish and she drops dead. Her brother yet again pleads for her life but this time Grimmy let her live. That time I was thankful because I haven't saved in a bit.
Listen, this should not be happening. Sims should only die of pufferfish when they eat pufferfish. Not bread, not coffee. Please if this is something I can fix, please let me know but I do not want this to keep happening.
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In all seriousness, though, I’m not sure what could be doing it. You could try doing the typical repair game options, making sure it isn’t mod-related, etc., but otherwise, it may be a bug. I haven’t experienced this one yet.
Do you use any custom content or mods? If you do, the first thing to try is backing up your Sims 4 folder, then removing the mods and cc and deleting the localthumbcache file in your Sims 4 folder. Then try out the game to see if it's still happening. If not, then you know it's something from your mods folder.
If you don't use mods/cc, try repairing the game in Origin. Right click on Sims 4 and select "repair". That might help.
If this doesn't work, it might be a bug that has turned up in the past and was previously solved. You can file an official bug report here: https://answers.ea.com/t5/The-Sims-4/ct-p/the-sims-4-en
Does it continue to happen without mods? It might be a mod issue.
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