I still often have an intense desire to play pretend - and thinking about it, it’s probably also a means of escape for me, just getting to be someone/something else for a little while. I deeply miss playing pretend with my brother when we were kids, and I’d adore having someone who’d do it with me now. I too play The Sims (though I play 4 now) and write, but it’s just not the same. The rate at which enough of an idea will come to me to be able to write it down or otherwise express it is painfully slow, and I struggle with trying to play all the parts at the same time. Plus it doesn’t work out very well when someone with minimal social skills tries to write social interaction
Nobody, including me, wants to try to read any of my first drafts. It’s even worse in The Sims, I really can only manage one Sim at a time.
Anyone spending a few days or more around me would at least have to put up with me pretending by myself, even if all they did was ignore it (though of course it would be great if they’d play along and far better still if they’d join in). Sure, I feel silly at times, but it really seems to be an integral part of who I am, I just can’t help it.
And now I‘m not sure if this is really on topic or not 
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Yet in my new wildness and freedom I almost welcome the bitterness of alienage. For although nepenthe has calmed me, I know always that I am an outsider; a stranger in this century and among those who are still men.
-H. P. Lovecraft, "The Outsider"