22+ Best Sims 4 Acne CC and Mods: Realistic Overlays, Breakouts, and Skincare Mods for Teens & Adults

Acne is not the prettiest thing in the world, and a lot of teens and young adults struggle to get rid of their acne daily. However, in The Sims 4, acne adds a whole new level of realism to your gameplay. It makes your Sim’s life a bit more realistic while adding emotional depth to their everyday lives.

With Sims 4 acne, you can create a self-conscious teen going through puberty or a young adult battling hormonal flare-ups. To help you get started, I’ve compiled a list of the best Sims 4 acne cc and mods. You’ll find realistic overlays, textured breakouts, zits, and even mods that simulate acne progression.

As always, all the content is free to download and use in the base game. I’ve also included a FAQ section at the bottom of this post. Enjoy!

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Best Sims 4 Acne CC

Here are the top Sims 4 acne cc and mods for your realistic gameplay:

Lucia Face And Body Acne

Download: Lucia Face And Body Acne

If you want to give your Sims a little texture because life isn’t all perfect skin and glowing highlighters, get the Lucia Face and Body Acne. It contains detailed breakouts on both the face and chest, with subtle redness and scattered pimples that look incredibly real in-game.

The acne transforms your Sim into a human and comes in 42 swatches. This ensures you find a shade to match your Sim’s skin tone. The acne also covers your Sim’s back, arms, and legs. You’ll find it in the skin detail category.

Teenage Days – Acne

Download: Teenage Days – Acne

The Teenage Days Acne CC is a realistic facial overlay that captures the awkward charm of adolescence. It’s designed for teen Sims and comes with 14 swatches that vary in intensity, ranging from mild blemishes to full-on breakouts across the cheeks, chin, and jawline.

Each swatch adds texture and subtle redness, making it perfect for storytelling or enhancing realism in your game. You can use this acne skin overlay to craft a teen with hormonal flare-ups or a shy teen who is insecure about their skin. Please check out our article on Sims 4 Teen Bedroom CC to find the perfect room to match their personality.

Acne Overlays – Nose V1

Download: Acne Overlays – Nose V1

Sometimes, it’s the tiniest details that make a Sim feel real and human, and this Nose V1 Acne Overlay delivers just that. This CC adds small clusters of acne and blackheads right around the nose, which is one of the most common spots for breakouts IRL. So, if you’re looking for realistic skin discolorations, inflammation, and implications of cystic acne, add this to your mods file.

The Sims 4 acne cc comes in 8 different arrangements, from just one pimple to entire groups. So, you can give your pre-teen a few zits or go full-on with a hormonal flare-up. The acne also comes in five skin color variants to suit different skin tones and occults.

Flora Acne

Download: Flora Acne

The Flora Acne pack contains acne spots that capture the reality of moderate to severe breakouts. The set includes red, inflamed pimples of various sizes spread across the cheeks, chin, and jawline.

These come in nine swatches for light to dark skin tones, meaning you can use them on your melanated Sims. The Sims 4 acne cc is compatible with both male and female Sims from teen to elder. I love the realistic texture of the pimples, which allows your Sims to maintain their unique features while embracing real-life skin texture. Click the link to add the acne to your mods file.

Eva

Download: Eva

If you don’t have time to create a Sim with acne in the base game, get this ready-made Sim. Eva is a stunning young adult who struggles with acne and skin breakouts. Her favorite color is pink, and she loves anything Kawaii and Hello Kitty. Despite having acne, she doesn’t let it define her and wears her skin with confidence.

I recommend using Eva to fill up your town or household or use her as the main character in your storytelling. If you want more Sims to fill up your virtual world, read our article on Sims 4 Sim Download.

PCOS Things Remake

Download: PCOS Things Remake

PCOS is something many women struggle with in real life. So, I was stoked to find an option for Sims 4. The PCOS Things Remake is a detailed combination of traits commonly associated with Polycystic Ovary Syndrome. This includes acne-covered skin, facial and body hair, and even a hormonal patch. The pack goes beyond basic cosmetic overlays, giving you the tools to represent real-life conditions with depth and care.

If you’re telling the story of a Sim navigating chronic health or simply looking to diversify your Sim world, get this set. It makes your gameplay reflect the many faces of reality.

Hyperpigmentation

Download: Hyperpigmentation

If you’re into urban gameplay like I am, you need melanin-friendly acne, and the Yuzu Hyperpigment is the right choice. It’s small, natural dark spots that often appear after acne, irritation, or hormonal changes. This is a subtle yet impactful addition to your melanin-rich Sims. The hyperpigmentation comes in five swatches and can be used on feminine and masculine frames.

I love that the Sims 4 acne cc is specifically designed to show up authentically on melanated skin tones. This gives your Sims that extra dose of texture and realism. You can use the cc to tell a deeper story about skin and self-image.

I recommend checking out our article on Sims 4 Urban Makeup CC to find the right makeup to go with your acne-prone skin.

Sierra Skin

Download: Sierra Skin

The Sierra Skin is a richly detailed custom skin that celebrates textured beauty in its most natural form. This overlay is a gorgeous blend of hyperpigmentation, blemishes, and soft freckling, which makes it ideal for melanated Sims. The detailing around the cheeks and forehead mimics acne scarring and skin texture without overpowering your Sim’s features.

I highly recommend using this skin on black Sims and people of color. It translates beautifully on their skin and adds a real-life perspective to their virtual world.

Natural Skins

Download: Natural Skins

If you want natural skin with realistic textures, get this Natural Skins pack. It contains three melanated skin tones with hyperpigmentation, acne breakouts, and redness. The visible skin texture, discolouration, and subtle acne scarring, especially on the cheeks and forehead, make your Sim feel deeply human and relatable.

The skin overlays feature different levels of acne, some more severe than others. So, you can choose what works for your Sim.

Callie Skin

Download: Callie Skin

If you’re looking for a skin overlay that adds just the right amount of detail without overdoing it, get the Callie Skin Overlay. It features soft freckles, delicate pores, and just a touch of natural texture, so your Sims end up looking effortlessly cool and subtly imperfect. You’ll find the Sims 4 acne cc in three swatches, ranging from light to dark.

I recommend using this over a bold makeup look to add a subtle texture to your Sim’s skin. This way, you’re still hitting the realism mark on your adult Sims.

Acne #01

Download: Acne #01

If you want to give your adult Sims a realistic acne breakout, get the Acne #01 by Scarlett. It covers the forehead, cheeks, and chin, and its detailing is intense, showing red inflammation, scarring, and various textures to mimic real-life hormonal or cystic acne.

This acne gives you an honest and raw representation of real-life breakouts, and you can use it to add depth to your storytelling. It’s HQ compatible, works for all ages and genders, and is slotted under the blush category, so you can easily layer it with other skin details. Click the download link to add this cc to your mods folder.

Acne Skin

Download: Acne Skin

The Acne Overlay by Molingoo pulls no punches when it comes to hyperrealistic skin detail. This CC features deep texturing, dark scarring, and pronounced cystic acne, all crafted with an uncompromising level of realism. What makes it stand out is how naturally it sits on melanated skin tones, highlighting pores, texture, and inflammation in a way that’s rarely done this well.

This Sims 4 acne cc embraces raw, complex skin as it is, ensuring you can showcase the struggle of acne breakouts. Your Sims don’t always have to be beautiful and flawless. Embrace their flaws with this hyperrealistic acne.

Love My Skin Set

Download: Love My Skin Set

The Love My Skin set is a soft and empowering collection of acne and pore details that lets your Sims embrace their natural beauty. This CC adds gentle blemishes across the cheeks, chin, and jawline, paired with a realistic pore texture to give skin dimension. The pack balances realism while keeping your Sim’s softness intact.

You’ll get four pore options and two swatches, compatible with all skin tones. In addition, you’ll get ten acne options in five swatches, also compatible with all skin tones. Be sure to download both at the bottom of the post’s description.

Real Skin Acne

Download: Real Skin Acne

If you want realistic Sims 4 acne cc for your teens and young adults, get this pack. The Real Skin Acne features light blemishes around the forehead, cheeks, and chin. It adds a nice touch of realism to younger Sim’s look without needing mods.

If you’re starting out with acne CC and prefer a more Maxis Match look, this is a solid foundation to build from. It works exceptionally well with the base game skin tones and face presets, and can be used on light and dark skin tones.

Serenity Skin

Download: Serenity Skin

The Serenity Skin by MSQSIMS is a soft, semi-realistic skin overlay designed exclusively for female Sims. This Sims 4 acne cc features delicate freckles, light pigmentation, and subtle blush tones that look incredibly natural in-game. Note that it’s a full-body skin overlay, and it comes with stretch marks.

You’ll find the skin in 15 swatches to suit a wide range of skin tones. This overlay complements both Alpha and Maxis Match aesthetics. While it’s not a full acne set, it still gives you textured skin, redness, and pimples to highlight the struggle of flare-ups.

Pimple Patches

Download: Pimple Patches

If your teen or young adult has acne, you can get these Pimple Patches to cover it up. They’re a cute and clever way to bring skincare realism to your Sim’s daily routine. The patches are designed as facial accessories to mimic the look of those trendy hydrocolloid patches you see all over TikTok and Instagram.

I recommend adding them to your Sim’s nighttime look, complete with their Sims 4 Pajamas CC. These pimple patches pair perfectly with acne overlays and are especially great for storytelling in slice-of-life or teen-focused gameplay.

Zits 2 HQ

Download: Zits 2 HQ

The Zits 2 HQ skin detail is a simple yet effective way to add small, standalone pimples to your Sim’s face. These zits are placed naturally across the cheeks, chin, and forehead, and come in pink and red tones. You can choose from over eight swatches, ensuring you get the right shade for your Sim.

While the zits are subtle, they’re still noticeable enough to add texture and character to your Sim’s look. If you’re going for a little imperfection or aim to create a Sim mid-breakout, this HQ-compatible overlay is a clean and realistic choice. It’s designed for male Sims.

Acne Overlay Set

Download: Acne Overlay Set

If you want a versatile Sims 4 acne cc set with everything you need to create Sims with flare-ups, acne, pimples, and the like, get this Acne Overlay Set. It contains mild whiteheads, zits, inflamed cystic acne, and even scarring, all with tone-accurate variations for diverse skin shades.

The set has an outstanding five categories, one for each skin area, and 210 individual swatches. You also get five skin color variants, and the cc is layerable, meaning you can make numerous combinations to suit your skin.

The set is designed for all genders and ages, and includes overlays for different parts of the face and body, allowing you to create highly personalised acne maps for each Sim. The acne can also be randomly generated in teens and young adults once downloaded.

Best Sims 4 Acne Mods

I couldn’t find many Sims 4 acne mods for the base game. Here are some great options that pair perfectly with acne CC to give your game more realism and depth when it comes to skincare routines, acne treatment, and self-care:

Slice of Life – Acne System

Download: Slice of Life

The Slice of Life mod has a dynamic acne system designed to make skin care feel real and interactive in the base game. With this system, your Sims, especially teens, can develop acne based on age, hygiene, and emotional state. Breakouts appear randomly and vary in severity, showing up as visible pimples on your Sim’s face.

What makes the mod immersive is how Sims react: they can feel embarrassed about their acne, try to hide it with makeup, or treat it with skincare routines like cleansers, masks, and toners. You’ll get new buffs and moodlets related to acne, depending on how your Sim handles it.

The system also encourages daily maintenance. For instance, Sims who skip hygiene or are often stressed will be more prone to breakouts, while those with a solid skincare routine can keep their skin clear. This mod is a fun yet realistic way to simulate teenage struggles or adult skincare journeys.

Acne for Adults

Download: Acne for Adults

The Acne for Adults mod gives adult Sims, elders, and teens the chance to experience pimples, blackheads, and hormonal flare-ups, just like in real life.

The likelihood of them getting it is influenced by various factors, such as age, mood, traits, motives, pregnancy, and more. The breakouts appear as skin details and are designed to blend naturally with a variety of skin tones and overlays. Teens have a higher chance of getting acne compared to young adults and older adults. The acne is designed to disappear over four days unless you take certain actions.

The mod has a lot of interactions and is a great way to add realism to your Sim’s gameplay. Please carefully read the description in the post to learn more about this mod and how it works.

Pimples Mod

Download: Pimples Mod

This mod adds acne gameplay for Simmers who don’t own the High School Years expansion pack. This way, your teens (and occasionally adults) deal with pesky breakouts!

It starts when your Sim notices something unusual while brushing their teeth in the morning: pimples! Teenagers are the most likely to get acne, but on rare occasions, adults might too. When a breakout occurs, Sims receive a hidden moodlet that lasts up to 24 hours. Luckily, you can reduce this time by doing calming activities like showering or yoga.

The chance of breakouts is influenced by traits, so some Sims will be more prone to acne, while others might experience severe flare-ups. Note that Sims with the Great Kisser reward trait are immune to acne altogether. If you’d like to spare a Sim from pimples, be sure to give them this reward trait.

When Sims discover a breakout, they might feel embarrassed for two in-game hours, depending on their personality. But not all Sims react the same, as some shrug it off entirely.

You can treat acne using medicine, deodorant, or by sipping green tea or lemon-honey-ginger tea. Parents can also offer detox advice or help their teens relax (which removes the embarrassed moodlet).

Young Adults Can Clear Acne

Download: Young Adults Can Clear Acne

The Young Adults Can Clear Acne mod allows you to get rid of your Sim’s teenage acne. This mod was designed as a more natural, in-game solution rather than just having the acne disappear instantly with a toggle. Your Sim will have to take certain steps, such as applying facial cleanser, to get rid of their acne. Once your young adult clears their acne, it shouldn’t come back.

FAQ: Sims 4 Acne CC & Gameplay

Q: Do teen Sims get acne in the base game?

A: Yes, they do! Teen Sims can randomly develop acne in the form of a skin detail. It shows up on the face, usually the cheeks, forehead, or chin, but it’s purely cosmetic. There are no moodlets, reactions, or in-game treatments. You can manually remove or add it in CAS, but there’s no gameplay impact unless you’re using a mod like Slice of Life.

Q: How do you get rid of acne on Sims 4?

A: In the base game, acne is a skin detail that can be removed manually in CAS by editing the Sim. It doesn’t impact gameplay. If you’re using mods like Slice of Life, your Sims can get rid of acne by using cleansers, face masks, or drinking green tea. Keeping their hygiene and stress levels low also helps prevent breakouts.

Q: How do I turn acne off in Sims 4?

A: If you’re using Slice of Life, go into the mod’s settings via your Sim’s phone and disable the acne system under “Skincare Settings.”

For base game acne, go into CAS and manually remove the acne detail. There isn’t a setting to disable it entirely, but it’s only cosmetic and affects teens by default.

Q: How do you get rid of stage 4 acne in Sims 4?

A: “Stage 4 acne” is often used by CC/mod creators to describe very severe acne overlays or skins. These can’t be treated through gameplay unless the mod creator includes that feature.
To remove it:

• Go into CAS > Skin Details and uncheck the overlay.
• Or use mods like Slice of Life that let Sims treat acne with skincare routines until it fades.

Q: Where are the spas in Sims 4?

A: Spas are available in the Spa Day game pack. You can:

• Visit a premade spa in Newcrest or place one from the gallery.
• Or build your own spa lot using the “Spa” lot type.

At spas, Sims can get facials, massages, and mud baths, all of which may help reduce stress and indirectly help with acne if you’re using mods that factor in stress levels.

Conclusion

That’s it, Simmers. I hope you had a great time reading this Sims 4 acne cc list. Be sure to download some of the acne CCs and mods to add realistic skin textures and acne breakouts to your Sim’s look.

Feel free to leave any comments or questions below.

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