Consider making Ailments and Satisfaction togglable.
I know this has probably been posted a lot before but it's clear that not everyone likes ailments and would prefer if they could be turned completely off. Just making them appear less is not the best thing and 3 days still seems like a little too much. After all, we did buy the pack separately, so people should be able to choose whether or not things like that should be included in our saves.
Same goes for the satisfaction system. I honestly hate it and feel it was implemented poorly, making relationships feel more like a job or chore rather than an actual relationship. Because, if your sims don't interact romantically for more than a day, suddenly your relationship bar can drop significantly, and you may get a call about wanting to break up. Real relationships don't work like that and any relationship in real life that is like this is considered extremely unhealthy and toxic. So, I would rather just be able to turn the whole system off and save it for something like a self-made challenge.