[10] Part of this campaign included getting the #justiceforcowplants trending on the Sims gallery via a "shell" building challenge.
[16][17] In 2018, Sims was nominated for Streamer of the Year at Summer in the City for her streaming on Twitch.
[18] In January 2021, an illustration of her cat was made the PogChamp emote on Twitch for a day.
[19] Sims, as part of the team Sandy's Candies with streamers brandiganBTW, Fuzzireno, and TheHaboo, won the first Stardew Valley Cup in September 2021.
[16] As a gamer herself, Sims is an avid supporter of AbleGamers, a charity dedicated to making games accessible to disabled children, and has raised money for them on multiple campaigns since 2020.
In August 2021, Sims raised over $100,000 for AbleGamers to help Steven Spohn reach his birthday fundraising goal of $1,000,000.
[23] As of 2024, Sims has raised over $2 million for St. Jude Children's Hospital through her annual month-long charity Twitch streams.
[24] On January 22, 2024, Sims raised money for the Palestine Children's Relief Fund through her Twitch account.