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...
^ Same experience, it seems they need the “dangerously tired” moodlet for the woohoo to do them in. They don’t die during, they get up afterwards and drop dead. But if you’re playing a Long-Lived sim, they can’t die this way.
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