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Yes, you can. Let them work out for a while and eventually it should say, "Your sim just became slim."

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Q: Can you make a sim lose weight on sims 3?
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If you are making a sim in create-a-sim you can. If you have a sim already made.. A). To make them lose weight, have them work out. B). To make them gain weight, make them eat non stop for a while. Hope this helped!

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