It's accessible, it's decent fun, and there's a metric ton of content.

Possibly the first Sims game that is worth playing all the way through. It may lack some variety of content, but nevertheless it's a big step forward for the series. [May 2011, p.87]

In the end, The Sims Medieval is definitely one of the best releases of this series in a long time and the tweaked gameplay and new direction of the game will not only be pleasing to existing fans but also newcomers to the series who will easily be able to pick up the game and start playing.

The Sims Medieval is a beautiful game with fun and interesting ideas, but it doesn't live up to my fantasy of the Middle Ages and it doesn't completely satisfy the Sims fan in me.

The Sims Medieval is a funny game for explorers, full of little gems, but the everyday life of the Sims has been simplified and feels routine very quickly. It's very entertaining for a while, but too shallow to motivate for long.

The Sims: Medieval is an interesting experiment, with some good ideas, but their use is far from ideal. The repetition and the pacing problems have a negative impact on the overall experience, but this will not prevent fans of the series from spending many enjoyable hours with it.

The Sims Medieval tries to reinvigorate the series, and ends up losing most of what made the previous games great, instead taking the game off into a very different and overly simplistic direction, shedding all freedom for no real benefit.