It works fine, but I found myself constantly clicking buttons in the hope of it performing the task I wanted it to. What I would suggest is abandoning the official Sims 4 controller layout.
You can even drop the TDP setting all the way down to 10 without a hit to performance, which keeps the fan quiet and improves battery drain. Sims 4 on Steam Deck runs at 60 frames per second and that’s with everything set as high as it can go. The settings below are what the game recommends, and to be honest, I don’t think any of them are worth changing with the exception of toggling Vsync on. Custom content works on Steam Deck, and so far my testing hasn’t thrown up any negative performance problems. Overall, though, you can expect a smooth visual experience with all the settings cranked to the max. Before you make any decisions, please be sure to check out the bugs and issues sections down below. Performance of The Sims 4 on Steam Deck is superb, with the framerate sticking to a smooth 60 regardless of what you’re doing. I’m warning you now, this isn’t going to be as straightforward as normal.