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A couple of reasons.

If food has gone off (ie left out uneaten for too long) and a sim eats it, they will throw up and can die!

also certain recipes will cause sims to throw up.

also cooking with a dirty blender will give sims food poisoning and make them throw up.

most of the time any mix of foods that can be cooked, then have the end result turned into slurry, will make your sim sick.

for example making devilled sausages, then sticking them in the blender to make slurry.

It can also if there pregent

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Q: Why do sims throw up on game?
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