Woohoo Quest Makes it Not Kid Friendly, Otherwise it's 90% safe
The game just does the day to day living of the people you create. They can hate each other, be friends, or fall in love and get married. They can pick up hobbies, collect stuff, design and decorate their houses. They can have kids, jobs, pets, etc. It is slow moving at the beginning because you don't have any characters to use and not much income to save with. However, there are lots of options as you get leveled up. The quests multiply as you level up to the point where you end up not being able to complete them all. You can also ignore the quests and just play at your own leisure.
Real money is encouraged by gameplay. The prices of buildings inflate as you level up and so you are still always saving in game currency for a few days until you have enough for the next building/activity. This can be rectified through spending real money which I will probably never do. I have watched ads for in game prizes, however.
Implied Sexual Content: The only issue I have is with the "woohoo" activity. Otherwise it would have been safe for my elementary kiddos. The game implies sexual activity. There is a blur bubble around them if they woohoo in public. If they woohoo near a bed then they get covered by the blankets. The blanket moves because of them underneath and you see hearts coming from the it. Either "woohoo" option still has giggling and sighs of pleasure if you have the sound on. They must fall in love before the woohoo option appears so at least there aren't one night stands. Haha
Honestly, I wish there was just a setting to turn off the woohoo option. I would pay for it. The rest of the game is completely kid friendly.
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Ease of Play