How we homeruled this
In one of our campaigns, I played a wizard who used simulacrum, using it from 13th level, through 20th. My wizard pretty much always had a simulacrum.
Simulacrum is a challenging spell, just look at how many posts there are about it here. Many questions relate to biological functions.
We made a series of houserules, and one of them was a general rule that covers a sim's biology.
Our rule:
- The sim is a magical construct. It appears to be alive, and can be killed, but its life is but an illusion, sustained by magic. It is not a biological creature, but a magical one. Cut it, and it bleeds, but the blood does not keep it alive, magic does. It breathes, and without air it dies, but magic keeps it alive, not air. It requires food and water, but they do not sustain its body, only the illusion.
Like many houserules, it made perfect sense to us, but reading it, I'm not sure it's application here is completely obvious. Our intent was that it is magic, not biology, and it suffers all the pitfalls of being alive, but it is not, it is an illusion.
As an example, we found out that mind flayers considered the sim a perfectly valid target (terrifying, watching a mind flayer go after your very very expensive, more than doubly-squishy toy), and while we (fortunately) did not find out if mind flayers found sim brains nourishing, I asked the DM about it later. They said, my wizard was fairly sure, according to research previously conducted, that a mind flayer would be happy to eat the brain, but since it is an illusion, not a real brain, the mind flayer would find it unsatisfactory and would gain at best some momentarily illusion of nourishment.
We never addressed the question of breastfeeding directly, but looking at similar issues that we did address, such as does the brain nourish a mind flayer, the answer would have been that the sim of a lactating creature would produce milk, but since the milk is an illusion, not real milk, a nursing infant would find it unsatisfactory and would gain at best some momentarily illusion of nourishment.
We also ruled that the sim was not renewable, any resource that it had that would normally be renewed over time, was only usable once. So a nursing sim would provide unsatisfactory and illusory milk once, then nevermore.
Conclusion
Simulacrum is a deeply intriguing spell, but it leaves a lot unspecified. The RAW can be poked at, but our experience was that no amount of RAW examination made the spell playable, but that our houserules did. Any DM might reasonably rule differently from what I provided here, but this is what worked for us.