What is The Sims Medieval? It's the next game in The Sims series. That is to say…it's not quite an expansion pack, and it's not quite The Sims 4, but man…! So to answer your question, GameSpot doesn't know. In any case, they recently played it alongside executive producer Rachel Bernstein and have new details to report on just how this unusual new entry in the series--which takes place in ancient times, puts you in the role of blacksmiths, kings, and other medieval professions, and has distinct victory conditions, after which the game ends--actually works.