American Truck Simulator Motion Sickness: Why It Happens & What Helps
American Truck Simulator runs the same SCS engine as Euro Truck Simulator 2, so the same two fixes apply: Physical Camera Movement off in Options > Gameplay > Camera Settings, and the field of view changed inside the F4 seat adjustment menu with the N and M keys. What is different is the road. Long, straight interstates produce a low, steady visual rhythm that lets symptoms creep up without the warning a twisty European route gives you. Checked September 2026.
PC (Windows, macOS, Linux) · first-person cab · Has comfort settings · Player-reported motion-sickness risk: commonly reported by motion-sensitive players.
- Low
- Moderate
- High
- Very high
Risk levels summarise what passengers and riders commonly report, not measured testing.
Key facts
- American Truck Simulator runs on PC (Windows, macOS, Linux).
- The camera is first-person cab.
- Player reports place it in the moderate band for motion sickness.
- The game ships a full set of comfort settings.
- 3 specific settings are listed on this page, starting with Physical Camera Movement.
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Why American Truck Simulator can trigger motion sickness
The cab camera rocks with the truck, dips under braking, and bounces over expansion joints, all while your body reports a still chair. On American routes the onset is sneakier. European driving is dense with corners and roundabouts, so if the camera bothers you, you know within minutes. An interstate is an hour of gentle sway at 65 mph, mild enough to ignore until it has accumulated into genuine nausea. The engine also ships a setting ETS2 players rarely mention: an interior camera horizon lock, which decides how hard the view fights to stay level on grades, useful in the Rockies where long climbs tilt the cab for minutes at a time.
- Steady low-level cab sway over long straight interstates, which delays the warning signs
- Brake dive and bump bounce from Physical Camera Movement, on by default
- Long grades in mountain states holding the cab tilted for minutes
- A tight default in-cab view that magnifies all of it
Comfort settings in American Truck Simulator
American Truck Simulator ships a full set of comfort settings.
| Setting | Where | Recommendation |
|---|---|---|
| Physical Camera Movement | Options > Gameplay > Camera Settings | Off, or slide it down. It is what makes the driver view shake and bump over uneven surfaces, and it disables cleanly |
| Interior Camera Horizon Locking Factor | Options > Gameplay > Camera Settings | Raise it if long climbs and descents bother you. It controls how strongly the view holds level when the truck pitches on a grade |
| In-cab field of view | Press F4 up to three times for Seat Adjustment, then N and M change the FOV | Widen it. Same engine, same hidden menu, same catch as ETS2: quick jobs reset it, owned trucks keep it |
Set up before your next session with American Truck Simulator
Dizzout runs on your phone, not on the machine you are playing on. Install it now, and when you next feel it starting, move the headphones you are wearing over to your phone and press play. Drug-free, and it works once symptoms have already begun.
Before you need it: find out how prone you are
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Put it on your phone
Free to try, no card needed. Or go straight to the App Store or Google Play.
Scan to open on your phoneOn a computer? Dizzout installs on your phone. Scan the code, or open dizzout.com/get on your phone and it'll take you straight to the right store.
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Send them the app that helps stop it, drug-free, in about 90 seconds, works with any headphones. Free to try.
What helps beyond the settings
- Change both camera settings before a long interstate leg, because onset on straight roads arrives late
- Hold your eyes on the horizon and mirrors rather than the dashboard gauges
- Stop at the first queasy signal even if the route is monotonous; creeping onset is this game's signature
- A drug-free sound-therapy app like Dizzout is designed to help once symptoms have started, and it runs through the headphones already on your head
The fixes people reach for once they step away from the screen are covered separately, with the trials attached: the remedy verdicts.
Frequently asked questions
Are the motion sickness settings the same in American Truck Simulator and ETS2?
Yes. Both run the SCS Prism3D engine and share the settings layout: Physical Camera Movement lives in Options > Gameplay > Camera Settings, and the field of view changes inside the F4 seat adjustment menu with the N and M keys. American Truck Simulator also exposes an Interior Camera Horizon Locking Factor in the same camera settings, worth raising if mountain grades are where it hits you.
Why do I feel fine for an hour and then suddenly terrible on the interstate?
Straight American highways produce mild, steady camera sway rather than obvious motion, and mild exposure accumulates. By the time you notice symptoms they have been building for a while, which is why they feel sudden and why they take longer to fade. The fix is preventive: turn off Physical Camera Movement and widen the field of view before the long leg, not after the nausea arrives.
How do I change the field of view in American Truck Simulator?
Press F4 repeatedly, up to three times, until the Seat Adjustment options appear, then adjust the field of view with the N and M keys. The value saves for trucks you own; quick job trucks restore defaults each time, which is why a setting you swear you changed keeps coming back.
Other game motion-sickness guides
Sources & further reading
- https://steamcommunity.com/app/270880/discussions/0/598524553372657427/
- https://forum.scssoft.com/viewtopic.php?t=329152
- https://www.gamepressure.com/americantrucksimulator/settings/ze83a2
- https://steamcommunity.com/app/270880/discussions/0/2261312148331018255/
- https://forum.scssoft.com/viewtopic.php?t=197932
Your next question, probably
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Based on publicly reported player experiences and each game's documented settings, as of September 2026. Settings menus change with updates, so check your version. Game names are trademarks of their respective owners; Dizzout is not affiliated with or endorsed by them. Motion-sickness sensitivity varies by person, so this is informational, not a game review or a substitute for a doctor's advice.