I have two elder sims in my game who have had a wonderfully romantic, long marriage and the joy of raising several children, and now grandchildren. I play with aging on so they don't have much longe...
I've killed off a few sims this way. I was playing a vampire sim who had a number of mortal lovers who had become elderly. It generally happens on the second of two consecutive woohoo-ing sessions. My vampire got an "unsatisfactory woohoo" moodlet after the second session, prior to her partner dropping dead.
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