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The Sims Medieval combines elements from The Sims 3 (Game), Final Fantasy Crystal Chronicles: My Life as a King and an RPG. Unlike other games in the Sims franchise, players start The Sims Medieval by themselves as a hero in a kingdom of one. Through quests that you'll be given in-game you will earn points. You can use points to add new buildings and bring people to your kingdom. EA has stated that combat and questing in The Sims Medieval will be relatively simplistic. Another change from the other games in the series is the ability to control all of the people in your kingdom at will, not just a single household.
As you gain followers they'll have two main jobs within your kingdom. First they'll have everyday tasks based on their profession. So a physician will be responsible for curing patients. Second, your followers can be used to complete quests. Quests are given to the player by the game and will have multiple choices for completion. Once a quest has been successfully completed, points are awarded. The ultimate goal in The Sims Medieval is to achieve your kingdom's ambition.
EA also states that the game will have the following features, but no additional information is available on them: